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A novel use of cardiac resynchronization therapy-defibrillator device in hypertrophic cardiomyopathy
Serkan Cay1, Ozcan Ozeke1, Firat Ozcan1
1Division of Arrhythmia and Electrophysiology, Department of Cardiology, University of Health Sciences, Yuksek Ihtisas Heart-Education and Research Hospital, Ankara, Turkey.
Insights
Dual-chamber implantable cardioverter-defibrillators manage ventricular arrhythmias and provide physiological pacing. This case highlights their use in non-obstructive hypertrophic cardiomyopathy with preserved ejection fraction and atrioventricular block.
Area of Science:
- Cardiology
- Electrophysiology
- Medical Devices
Background:
- Dual-chamber implantable cardioverter-defibrillators (ICDs) are standard for patients with atrioventricular block and hypertrophic cardiomyopathy (HCM) with preserved ejection fraction.
- Non-obstructive HCM presents unique challenges in pacing and arrhythmia management.
Abstract:
Dual-chamber implantable cardioverter-defibrillator is generally used in patients with atrioventricular block and hypertrophic cardiomyopathy with preserved left ventricular ejection fraction. In the current case, a cardiac resynchronization therapy-defibrillator device was implanted in a patient with non-obstructive hypertrophic cardiomyopathy with preserved ejection fraction and atrioventricular block to achieve both more physiological pacing and life-threatening ventricular arrhythmia management.
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