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Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients
Published on: July 12, 2024
[Telemedicine-assisted treatment of a 76-year-old man with heart failure]
B Bellmann1,2, C Gemein3,4, P Schauerte3,5
1Medizinische Klinik für Kardiologie, Charité - Universitätsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Deutschland. barbara.bellmann@charite.de.
Abstract:
The case of a patient with dilated cardiomyopathy and severely impaired left ventricular function is reported. With existing complete left bundle branch block and the patient being on optimal medical therapy, a cardiac resynchronization device with an integrated defibrillator was implanted and the patient was included in our telemonitoring program. During monitoring, an increase in ventricular premature beats with a decrease in biventricular pacing percentage was noticed. Consequently, radiofrequency ablation of the ventricular premature beats which originated in the left ventricle was performed. After ablation we could demonstrate a significant increase in biventricular pacing percentage. This case shows the importance of telemedicine and the complexity in the rhythmological treatment of heart failure patients.
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