Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Earlier Right Ventricular Pacing in Cardiac Resynchronization Therapy for a Patient with Right Axis Deviation
Yusuke HattoriKohei IshibashiTakashi NodaHideo OkamuraHideaki KanzakiToshihisa AnzaiSatoshi YasudaKengo Kusano
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JOURNALS OPEN ACCESS

2017 Volume 56 Issue 17 Pages 2285-2288

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Abstract

We describe the case of a 37-year-old woman who presented with complete right bundle branch block and right axis deviation. She was admitted to our hospital due to severe heart failure and was dependent on inotropic agents. Cardiac resynchronization therapy was initiated but did not improve her condition. After the optimization of the pacing timing, we performed earlier right ventricular pacing, which led to an improvement of her heart failure. Earlier right ventricular pacing should be considered in patients with complete right bundle branch block and right axis deviation when cardiac resynchronization therapy is not effective.

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© 2017 by The Japanese Society of Internal Medicine
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