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Europace Advance Access published online on April 17, 2008
Europace, doi:10.1093/europace/eun102
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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

Temporary pacing wire in the coronary sinus: a novel treatment of acute heart failure?

Faizel Osman*, Karim Ratib, Suresh Krishnamoorthy, Adnan Nadir, John Creamer and Adrian Morley-Davies

Department of Cardiology, University Hospital of North Staffordshire NHS Trust, City General Hospital, Newcastle Road, Stoke-on-Trent, Staffordshire ST4 6QG, UK

Treatment of acute heart failure relies initially on medical therapy. Patients can be considered for cardiac resynchronization therapy once they are able to lie flat for several hours. However, placement of a temporary pacing wire (TPW) into the coronary sinus may allow the patient to receive resynchronization therapy in the acute phase. We report a case of a patient who had a dramatic improvement of symptoms and blood pressure after a TPW was placed in the coronary sinus.

* Corresponding author. Tel: +44 1782 552344. E-mail address: faizel.osman{at}btinternet.com

Manuscript submitted 3 March 2008. Accepted after revision 28 March 2008.


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