Ventricular function recovery after cardiac resynchronization in child with pacing-induced cardiomyopathy

Authors

  • Patrícia de Araújo Matias
  • Francisca Tatiana Moreira Pereira
  • Eduardo Arrais Rocha
  • Fernando Antônio de Mesquita

Keywords:

Cardiac Resynchronization Therapy, Pacemaker, Artificial, Atrioventricular Block

Abstract

Pacing-induced cardiomyopathy is observed in patients exposed to right ventricular pacing and is defined as worsening of left ventricular systolic function in the absence of alternative causes, with or without clinical evidence of heart failure. Incidence ranges from 9% to 26%, depending on the study population and the length of follow-up. This is a case report of a child with univentricular pacemaker for total atrioventricular block that evolved into severe ventricular dysfunction and heart failure after implant. Cardiac resynchronization was performed and the child evolved with clinical improvement and
reverse left ventricular remodeling.

Downloads

Download data is not yet available.

References

1. Guglin M, Barold SS. The role of biventricular pacing in the prevention and therapy of pacemaker-induced cardiomyopathy. Ann Noninvasive Electrocardiol. 2015;20(3):224-39. DOI: 10.1111/anec.12245.

2. Chen L, Hodge D, Jahangir A, et al. Preserved left ventricular ejection fraction following atrioventricular junction ablation and pacing for atrial fibrillation. J Cardiovasc Electrophysiol. 2008;19(1):19-27. DOI: 10.1111/j.1540-8167.2007.00994.x.

3. Dreger H, Maethner K, Bondke H, Baumann G, Melzer C. Pacing-induced cardiomyopathy in patients with right ventricular stimulation for >15 years. Europace. 2012;14(2):238-42. DOI: 10.1093/europace/eur258.

4. Zhang XH, Chen H, Siu CW, et al. New-onset heart failure after permanent right ventricular apical pacing in patients with acquired high-grade atrioventricular block and normal left ventricular function. J Cardiovasc Electrophysiol. 2008;19(2):136-41. DOI: 10.1111/j.1540-8167.2007.01014.x.

5. Khurshid S, Epstein AE, Verdino RJ, et al. Incidence and predictors of right ventricular pacing-induced cardiomyopathy. Heart Rhythm. 2014;11(9):1619-25. DOI: 10.1016/j.hrthm.2014.05.040.

6. Herweg B, Singh R, Barold SS. Cardiac resynchronization therapy is appropriate for all patients requiring chronic right ventricular pacing: the pro perspective. Card Electrophysiol Clin. 2015;7(3):433-44. DOI: 10.1016/j.ccep.2015.05.013.

7. Sweeney MO, Hellkamp AS, Ellenbogen KA, et al.; MOde Selection Trial Investigators. Adverse effect of ventricular pacing on heart failure and atrial fibrillation among patients with normal baseline QRS duration in a clinical trial of pacemaker therapy for sinus node dysfunction. Circulation.
2003;107(23):2932-7. DOI: 10.1161/01.CIR.0000072769.17295.B1.

8. Wilkoff BL, Cook JR, Epstein AE, et al.; Dual Chamber and VVI Implantable Defibrillator Trial Investigators. Dual-chamber pacing or ventricular backup pacing in patients with an implantable defibrillator: the Dual Chamber and VVI Implantable Defibrillator (DAVID) Trial. JAMA. 2002;288(24):3115-23.

9. Steinberg JS, Fischer A, Wang P, et al.; MADIT II Investigators. The clinical implications of cumulative right ventricular pacing in the multicenter automatic defibrillator trial II. J Cardiovasc Electrophysiol. 2005;16(4):359-65. DOI: 10.1046/j.1540-8167.2005.50038.x.

10. Kiehl EL, Makki T, Kumar R, et al. Incidence and predictors of right ventricular pacing-induced cardiomyopathy in patients with complete atrioventricular block and preserved left ventricular systolic function. Heart Rhythm. 2016;13(12):2272-8. DOI: 10.1016/j.hrthm.2016.09.027.

11. Cazeau S, Ritter P, Bakdach S, et al. Four chamber pacing in dilated cardiomyopathy. Pacing Clin Electrophysiol. 1994;17(11 Pt 2):1974-9.

12. Bakker P, Meijburg H, de Vries JW, et al. Biventricular pacing in end-stage heart failure improves functional capacity and left ventricular function. J Interv Card Electrophysiol. 2000;4(2):395-404.

13. Rocha EA, Pereira FTM, Abreu JS, et al. Assincronia como causa primária de miocardiopatia: uma relação de causa e efeito. Relampa. 2008;21(3):178-88.

14. Castellant P, Fatemi M, Bertault-Valls V, Etienne Y, Blanc JJ. Cardiac resynchronization therapy: “nonresponder” and “hyperresponders”. Heart Rhythm. 2008;5(2):193-7. DOI: 10.1016/j.hrthm.2007.09.023.

15. Rocha EA, Pereira FTM, Quidute ARP, et al. Who are the superresponders to cardiac resynchronization therapy? International Journal of Cardiovascular Sciences. 2017;30(1):61-9. DOI: 10.5935/2359-4802.20170020.

16. Kindermann M, Hennen B, Jung J, Geisel J, Böhm M, Fröhlig G. Biventricular versus conventional right ventricular stimulation for patients with standard pacing indication and left ventricular dysfunction: the Homburg Biventricular Pacing Evaluation (HOBIPACE). J Am Coll Cardiol. 2006;47(10):1927-37. DOI: 10.1016/j.jacc.2005.12.056.

17. Martinelli Filho M, de Siqueira SF, Costa R, et al. Conventional versus biventricular pacing in heart failure and bradyarrhythmia: the COMBAT study. J Card Fail. 2010;16(4):293-300. DOI: 10.1016/j.cardfail.2009.12.008.

18. Curtis AB, Worley SJ, Adamson PB, et al.; Biventricular versus Right Ventricular Pacing in Heart Failure Patients with Atrioventricular Block (BLOCK HF) Trial Investigators. Biventricular pacing for atrioventricular block and systolic dysfunction. N Engl J Med. 2013;368(17):1585-93. DOI:
10.1056/NEJMoa1210356.

19. Kaye GC, Linker NJ, Marwick TH, et al.; Protect-Pace trial investigators. Effect of right ventricular pacing lead site on left ventricular function in patients with high-grade atrioventricular block: results of the Protect- Pace study. Eur Heart J. 2015;36(14):856-62. DOI: 10.1093/eurheartj/ehu304.

Published

02-07-2017

How to Cite

de Araújo Matias, P., Moreira Pereira, F. T., Arrais Rocha, E., & de Mesquita, F. A. (2017). Ventricular function recovery after cardiac resynchronization in child with pacing-induced cardiomyopathy. JOURNAL OF CARDIAC ARRHYTHMIAS, 31(3), 114–118. Retrieved from https://jca.org.br/jca/article/view/88

Issue

Section

Cardiac Pacing

Categories