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European Journal of Heart Failure 2005 7(2):231-233; doi:10.1016/j.ejheart.2004.09.017
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© 2005 European Society of Cardiology

Dramatically improved left ventricular function after biventricular pacemaker implantation—a case report

Alan Bulava*, Jan Lukl, Marcela Skvarilová and Dan Marek

1st Department of Internal Medicine, University Hospital Olomouc I. P. Pavlova 6, 775 20 Olomouc, Czech Republic

* Corresponding author. Tel.: +42 588443201; fax: +42 588442500. E-mail address: alanbulava{at}seznam.cz


  Abstract

A case study of a patient suffering from severe chronic congestive heart failure resulting from ischemic cardiomyopathy in whom a biventricular (BiV) pacing system was implanted is reported. After a 1-year follow-up, left ventricular (LV) ejection fraction improved dramatically from an initial 15% to 60%, left ventricular end-diastolic diameter decreased, as did left atrial dimension. Tissue Doppler data and acute hemodynamic measurements taken during the biventricular pacemaker implantation procedure are presented. The case represents an exceptional example of left ventricular reverse remodeling with practically normalized left ventricular function after 1 year of synchronized pacing.

Key Words: Cardiac resynchronization • Biventricular pacing • Reverse remodeling • Left ventricular function • Tissue Doppler imaging

Received April 23, 2004; Revised June 22, 2004; Accepted September 27, 2004


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