Skip Navigation


Europace Advance Access originally published online on February 13, 2008
Europace 2008 10(4):502-504; doi:10.1093/europace/eun026
This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
10/4/502    most recent
eun026v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Yoshida, K.
Right arrow Articles by Aonuma, K.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Yoshida, K.
Right arrow Articles by Aonuma, K.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

RESYNCHRONISATION THERAPY

Triangle ventricular pacing in a non-responder to conventional bi-ventricular pacing

Kentaro Yoshida1,*, Yasuhiro Yokoyama2, Yoshihiro Seo1, Yukio Sekiguchi1 and Kazutaka Aonuma1

1 Cardiovascular Division, Institute of Clinical Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba 305-8575, Ibaraki, Japan; 2 Cardiology Division, Tokyo Medical and Dental University, Tokyo, Japan

A 56-year-old man with cardiomyopathy secondary to myotonic dystrophy and complete atrioventricular block presented to our institution. A cardiac resynchronization therapy (CRT) device (InSync 8040, Medtronic, Inc., Minneapolis, MN, USA) was implanted by a conventional bi-ventricular pacing (Bi-V) technique. However, the patient’s NYHA class did not improve from class IV despite optimized medical therapy. One month after the CRT device implantation, we altered the pacing configuration from that of Bi-V to ‘triangle ventricular pacing’ (Tri-V), i.e. conventional Bi-V from the right ventricular (RV) apex and left ventricle plus additional pacing from the RV outflow tract, using a Y connector to bifurcate the RV bipolar output of the device into an anode and a cathode. In both the acute and 3 month follow-up studies, objective parameters revealed better resynchronization effects with Tri-V, and the patient’s NYHA class immediately improved to class II. Triangle ventricular pacing may have the potential to decrease the number of non-responders to CRT.

Key Words: Resynchronization, Heart failure, Pacing

* Corresponding author. Tel: +81 29 853 3142; fax: +81 29 853 3143. E-mail address: kentaroyo{at}nifty.com

Manuscript submitted 28 November 2007. Accepted after revision 14 January 2008.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.