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European Journal of Heart Failure 2004 6(4):477-481; doi:10.1016/j.ejheart.2004.02.001
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© 2004 European Society of Cardiology

Cardiogenic shock shortly after initial success of cardiac resynchronization therapy

S.M. Kanhaia, E.P. Viergevera,* and J.J. Baxb

a Department of Cardiology, Groene Hart Hospital Bleulandweg 10, 2803HH Gouda, The Netherlands
b Department of Cardiology, Leiden University Medical Center The Netherlands

* Corresponding author. Tel.: +31-182-505050; fax: +31-182-505419. E-mail address: eric.viergever{at}ghz.nl


  Abstract

Cardiac resynchronisation therapy (CRT) has been shown to improve symptoms, exercise capacity and left ventricular function, as well as a reduction in morbidity/mortality in heart failure patients. Failures following initial success of this treatment are mostly related to lead dislodgement. Another entirely different reason is presented in this case study.

Key Words: CRT, cardiac resynchronisation therapy • ACC, American College of Cardiology • SPECT, single photon emission computed tomography • NYHA, New York Heart Association • VTI, velocity time interval

Received August 20, 2003; Revised October 31, 2003; Accepted February 5, 2004


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