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Europace Advance Access published online on June 16, 2008
Europace, doi:10.1093/europace/eun169
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

CASE REPORT

A case of diaphragmatic pacing with cardiac resynchronization therapy

Shoaib Hamid*, Aruna Arujuna and Christopher A. Rinaldi

Cardiothoracic Department, St Thomas' Hospital, London SE1 7EH, UK

Cardiac resynchronization therapy (CRT) is now an accepted treatment for heart failure [McAlister et al. in Cardiac resynchronization therapy for patients with left ventricular systolic dysfunction: a systematic review. JAMA 2007;297:2502–14.]. In addition to the complications associated with standard pacemaker implants, CRT procedures have their own additional complications such as coronary sinus dissection, diaphragmatic stimulation, and longer implant times. We present a case of CRT implantation which illustrates these problems because of an unusual complication.

* Corresponding author. Tel: +44 207 1887335; fax: +44 207 1882435. E-mail address: shoaibhamid{at}hotmail.com

Manuscript submitted 7 April 2008. Accepted after revision 27 May 2008.


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