Cardiac Resynchronization in the Acute Phase of Decompensated Heart Failure in a Young Patient with Systemic Sclerosis
Cardiac resynchronization therapy is an essential tool for treating patients with heart failure in different types of dilatative cardiomyopathy with bundle branch block. This technique is wildly used with significant benefits in terms of quality of life and effort tolerability along with optimized m...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Sciendo
2023-06-01
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| Series: | Journal of Cardiovascular Emergencies |
| Subjects: | |
| Online Access: | https://doi.org/10.2478/jce-2023-0005 |
| _version_ | 1797784160946880512 |
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| author | Parajkó Zsolt Kovács István Chițu Monica Benedek Imre |
| author_facet | Parajkó Zsolt Kovács István Chițu Monica Benedek Imre |
| author_sort | Parajkó Zsolt |
| collection | DOAJ |
| description | Cardiac resynchronization therapy is an essential tool for treating patients with heart failure in different types of dilatative cardiomyopathy with bundle branch block. This technique is wildly used with significant benefits in terms of quality of life and effort tolerability along with optimized medical therapy. In spite of its benefits, several factors may influence its efficacy such as etiology, lead position, or device settings. In some cases, the anatomical variance of the coronary sinus could create technical difficulties for advancing the left ventricular lead. This case report describes a female patient presenting with decompensated heart failure, known with complicated sclerosis multiplex and a fibrous tissue in the coronary sinus, which created a critical obstruction leading to impossibility to advance the left ventricular lead. This case underlines the importance of appropriate imaging investigation for optimal interventional approach in these difficult cases. |
| first_indexed | 2024-03-13T00:36:00Z |
| format | Article |
| id | doaj.art-a217030128384c9cba9d543fdd9c67db |
| institution | Directory Open Access Journal |
| issn | 2457-5518 |
| language | English |
| last_indexed | 2024-03-13T00:36:00Z |
| publishDate | 2023-06-01 |
| publisher | Sciendo |
| record_format | Article |
| series | Journal of Cardiovascular Emergencies |
| spelling | doaj.art-a217030128384c9cba9d543fdd9c67db2023-07-10T06:04:49ZengSciendoJournal of Cardiovascular Emergencies2457-55182023-06-0192384210.2478/jce-2023-0005Cardiac Resynchronization in the Acute Phase of Decompensated Heart Failure in a Young Patient with Systemic SclerosisParajkó Zsolt0Kovács István1Chițu Monica2Benedek Imre31“George Emil Palade” University of Medicine, Pharmacy, Science and Technology, Târgu Mureș, Romania1“George Emil Palade” University of Medicine, Pharmacy, Science and Technology, Târgu Mureș, Romania1“George Emil Palade” University of Medicine, Pharmacy, Science and Technology, Târgu Mureș, Romania1“George Emil Palade” University of Medicine, Pharmacy, Science and Technology, Târgu Mureș, RomaniaCardiac resynchronization therapy is an essential tool for treating patients with heart failure in different types of dilatative cardiomyopathy with bundle branch block. This technique is wildly used with significant benefits in terms of quality of life and effort tolerability along with optimized medical therapy. In spite of its benefits, several factors may influence its efficacy such as etiology, lead position, or device settings. In some cases, the anatomical variance of the coronary sinus could create technical difficulties for advancing the left ventricular lead. This case report describes a female patient presenting with decompensated heart failure, known with complicated sclerosis multiplex and a fibrous tissue in the coronary sinus, which created a critical obstruction leading to impossibility to advance the left ventricular lead. This case underlines the importance of appropriate imaging investigation for optimal interventional approach in these difficult cases.https://doi.org/10.2478/jce-2023-0005cardiac resynchronizationheart failuresystemic sclerosiscoronary sinus venoplastydilatative cardiomyopathy |
| spellingShingle | Parajkó Zsolt Kovács István Chițu Monica Benedek Imre Cardiac Resynchronization in the Acute Phase of Decompensated Heart Failure in a Young Patient with Systemic Sclerosis Journal of Cardiovascular Emergencies cardiac resynchronization heart failure systemic sclerosis coronary sinus venoplasty dilatative cardiomyopathy |
| title | Cardiac Resynchronization in the Acute Phase of Decompensated Heart Failure in a Young Patient with Systemic Sclerosis |
| title_full | Cardiac Resynchronization in the Acute Phase of Decompensated Heart Failure in a Young Patient with Systemic Sclerosis |
| title_fullStr | Cardiac Resynchronization in the Acute Phase of Decompensated Heart Failure in a Young Patient with Systemic Sclerosis |
| title_full_unstemmed | Cardiac Resynchronization in the Acute Phase of Decompensated Heart Failure in a Young Patient with Systemic Sclerosis |
| title_short | Cardiac Resynchronization in the Acute Phase of Decompensated Heart Failure in a Young Patient with Systemic Sclerosis |
| title_sort | cardiac resynchronization in the acute phase of decompensated heart failure in a young patient with systemic sclerosis |
| topic | cardiac resynchronization heart failure systemic sclerosis coronary sinus venoplasty dilatative cardiomyopathy |
| url | https://doi.org/10.2478/jce-2023-0005 |
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