Reversible Biventricular Dysfunction Due to Right Ventricular Pacing in a Patient With Prior Cancer Treatment.
Sebastian Sanhueza1, Josefina Castillo2, David Chiliquinga3
1Cardiovascular Diseases Department, Pontificia Universidad Católica de Chile, Santiago, Chile; Electrophysiology Department, Hospital Sotero del Rio, Santiago, Chile; Electrophysiology Department, Hospital Clínico UC, Santiago, Chile.
Pacing-induced cardiomyopathy (PICM) can be reversible. This case shows significant functional improvement and recovery of biventricular function with optimized medical therapy when cardiac resynchronization therapy is not an option.
Area of Science:
- Cardiology
- Electrophysiology
Background:
- A 54-year-old woman with a history of breast cancer developed pacing-induced cardiomyopathy (PICM).
- She had undergone treatment including chemotherapy, surgery, and radiotherapy.
- PICM developed after right ventricular pacing due to trifascicular block and bilateral subclavian vein stenosis.
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