Successful catheter ablation to accessory atrioventricular pathway as cardiac resynchronization therapy in a patient with dilated cardiomyopathy.

نویسندگان

  • Toshihiro Iwasaku
  • Keiji Hirooka
  • Tatsunori Taniguchi
  • Go Hamano
  • Yukari Utsunomiya
  • Akito Nakagawa
  • Masao Koide
  • Takamaru Ishizu
  • Masaki Yamato
  • Noriko Sasaki
  • Hiroyoshi Yamamoto
  • Yoshihiro Kawaguchi
  • Hiroya Mizuno
  • Yukihiro Koretsune
  • Hideo Kusuoka
  • Yoshio Yasumura
چکیده

A 55-year-old man was admitted to our hospital for further examination of the abnormalities of chest X-ray and electrocardiogram. He was diagnosed with type B Wolff-Parkinson-White syndrome concomitant with dilated cardiomyopathy. Despite the medical therapy using enalapril and carvedilol for 20 months, his cardiac performance and brain natriuretic peptide (BNP) were not so improved. Because asynchronous septal motion caused by pre-excitation through a right-sided accessory pathway (AP) might deteriorate his cardiac performance, catheter ablation to the AP was performed. Successful procedure after 17 months improved left ventricular (LV) contraction, reduced LV volume, and decreased mitral regurgitation and BNP.

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عنوان ژورنال:
  • Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology

دوره 11 1  شماره 

صفحات  -

تاریخ انتشار 2009