Case report: Treatment of tachycardia-induced cardiogenic shock with permanent His bundle pacing and atrioventricular node ablation.

AV node ablation His bundle pacing cardiac resynchronization therapy cardiogenic shock mechanical circulatory support tachycardia-induced cardiomyopathy

Journal

Frontiers in cardiovascular medicine
ISSN: 2297-055X
Titre abrégé: Front Cardiovasc Med
Pays: Switzerland
ID NLM: 101653388

Informations de publication

Date de publication:
2022
Historique:
received: 12 07 2022
accepted: 21 10 2022
entrez: 1 12 2022
pubmed: 2 12 2022
medline: 2 12 2022
Statut: epublish

Résumé

Tachycardia-induced cardiomyopathy (T-CMP) related to supraventricular arrhythmia is a rare and often unrecognized cause of refractory cardiogenic shock. When rhythm control interventions are ineffective or no longer pursued, atrioventricular node ablation (AVNA) with pacemaker implantation is indicated. Conduction system pacing provides normal synchronous activation of the ventricles after AVNA. However, there is a lack of data on pace and ablate strategy in hemodynamically unstable patients. We report on 2 patients with T-CMP presenting with refractory cardiogenic shock who were successfully treated with His bundle pacing in conjunction with AVNA.

Identifiants

pubmed: 36451920
doi: 10.3389/fcvm.2022.992675
pmc: PMC9702059
doi:

Types de publication

Case Reports

Langues

eng

Pagination

992675

Informations de copyright

Copyright © 2022 Žlahtič, Fister, Radšel, Noč, Šinkovec and Žižek.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Tadej Žlahtič (T)

Department of Cardiology, University Medical Centre Ljubljana, Ljubljana, Slovenia.

Miša Fister (M)

Department of Intensive Internal Medicine, University Medical Centre Ljubljana, Ljubljana, Slovenia.

Peter Radšel (P)

Department of Intensive Internal Medicine, University Medical Centre Ljubljana, Ljubljana, Slovenia.

Marko Noč (M)

Department of Intensive Internal Medicine, University Medical Centre Ljubljana, Ljubljana, Slovenia.

Matjaž Šinkovec (M)

Department of Cardiology, University Medical Centre Ljubljana, Ljubljana, Slovenia.

David Žižek (D)

Department of Cardiology, University Medical Centre Ljubljana, Ljubljana, Slovenia.

Classifications MeSH