Europace

Europace 2002 4(4):445-449; doi:10.1053/eupc.2002.0252
© 2002 by European Society of Cardiology

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CASE REPORT AND REVIEW OF THE LITERATURE

Reversed remodelling of dilated left sided cardiomyopathy after upgrading from VVIR to VVIR biventricular pacing

A. Erol-Yilmaz, R. Tukkie, T. A. M. Schrama, H. J. Romkes and A. A. M. Wilde

Department of Clinical and Experimental Cardiology, Academic Medical Centre Amsterdam, the Netherlands

AIMS: To show reversed remodelling of the left ventricle and left atrium after upgrading to biventricular pacing in a patient with worsening heart failure due to VVIR pacing. To review the literature concerning reversed remodelling after upgrading to biventricular pacing.

METHODS AND RESULTS: In a 61-year-old man, with cardiomyopathy and worsening heart failure and mitral insufficiency following conventional pacing after His-bundle ablation, upgrading to biventricular pacing showed left sided reversed remodelling of the heart with decrease in mitral regurgitation in 6 months. The literature is reviewed by a Medline search between 1966–2001.

CONCLUSION: The occasionally observed progressive heart failure after right ventricular pacing following His-bundle ablation can be reversed by upgrading to VVIR biventricular pacing and under these circumstances upgrading should be considered.

Key Words: Biventricular pacing, remodelling, heart failure, mitral regurgitation, AV-node ablation

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Correspondence: A. Erol-Yilmaz, M.D., Department of Clinical and Experimental Cardiology, B2-125, Academic Medical Centre, University of Amsterdam, 1100 DD Amsterdam The Netherlands. Tel.: 31-20-5668673; Fax: 31-20-6962609; E-mail: A.Yilmaz{at}amc.uva.nl

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