Electrophysiology Unit, Cardiovascular Division, Hospital del Mar, Universitat Autònoma de Barcelona,
Barcelona
Spain
Case Report
Not Enough QRS Shortening? Keep Calm and Add Another Lead
Author(s): Jesús Jiménez-López, Ermengol Vallès, Oscar Alcalde, Begoña Benito, Sandra Cabrera and Julio Martí-AlmorJesús Jiménez-López, Ermengol Vallès, Oscar Alcalde, Begoña Benito, Sandra Cabrera and Julio Martí-Almor
Cardiac resynchronization therapy (CRT) diminishes symptoms and reduces hospitalization and mortality in patients with heart failure, LV dysfunction and left bundle branch block. However, up to one third of patients do not respond to CRT. In that regard, few initial studies presenting multisite pacing have shown encouraging results, demonstrating both feasibility and safety in placing a second CS lead in >80% of patients intended, with further QRS shortening, which is the most powerful predictor of LV reverse remodelling.
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DOI:
10.4172/2165-7920.1000789
Journal of Clinical Case Reports received 1345 citations as per Google Scholar report