Loss of left bundle branch block following biventricular pacing therapy for heart failure: evidence for electrical remodeling?

J Interv Card Electrophysiol. 2004 Feb;10(1):47-50. doi: 10.1023/B:JICE.0000011484.61659.b1.

Abstract

Cardiac resynchronization therapy has been proven to improve symptoms and indices of left ventricular function in patients with heart failure and intraventricular conduction delays. We present a case of a patient with New York Association Class III heart failure and left bundle branch block, who received a biventricular pacemaker in order to achieve cardiac resynchronization. Her symptoms improved markedly, as did left ventricular ejection fraction and dimensions. In addition, her intrinsic QRS duration normalized. This may represent a salutory effect of biventricular pacing on electrical remodeling.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bundle-Branch Block / complications
  • Bundle-Branch Block / physiopathology*
  • Cardiac Pacing, Artificial / methods*
  • Electrocardiography
  • Female
  • Heart Failure / complications
  • Heart Failure / physiopathology
  • Heart Failure / therapy*
  • Humans
  • Middle Aged
  • Pacemaker, Artificial
  • Stroke Volume
  • Ventricular Function, Left
  • Ventricular Remodeling*