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Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
Published on: December 11, 2017
ECG of the month. Complex issues. Myocardial infarction; left bundle branch block
1Department of Medicine, Texas Tech University Health Sciences Center and Thomason General Hospital, El Paso, USA.
Insights
This case highlights a patient with a history of coronary artery disease, diabetes, and hypertension experiencing chest pain. Non-compliance with treatment may have contributed to his recurrent symptoms.
Area of Science:
- Cardiology
- Internal Medicine
Background:
- The patient is a 64-year-old male with a six-year history of diabetes mellitus and hypertension.
- He also has documented coronary artery disease.
- The patient has a history of non-compliance with prescribed treatments for his medical conditions.
Observation:
- The patient presented to the hospital with two days of recurrent chest pain.
- He also reported shortness of breath.
Findings:
- The initial presentation included symptoms suggestive of acute coronary syndrome.
- An electrocardiogram (ECG) and rhythm strip were obtained for further evaluation.
Implications:
- This case underscores the importance of treatment adherence in managing chronic cardiovascular conditions.
- Prompt diagnosis and management are crucial for patients with recurrent chest pain and risk factors.
Abstract:
A 64-year-old man came to the hospital complaining of recurrent chest pain and shortness of breath for the previous two days. Diagnoses included diabetes mellitus and hypertension for about six years and documented coronary artery disease. He was not compliant with treatment for any of these disorders. The initial 12-lead ECG and rhythm strip are shown below.
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