Longevity and Innovation: Cardiac Resynchronization Therapy in a 100-Year-Old Patient With Severe Heart Failure-A...

Area of Science:

• Cardiology
• Geriatric Medicine
• Medical Devices

Background:

• Severe left ventricular systolic dysfunction (LVSD) and electrical dyssynchrony often lead to heart failure.
• Cardiac resynchronization therapy (CRT) is established for improving outcomes in eligible patients.
• Managing heart failure in the very elderly presents unique challenges.

Purpose of the Study:

• To present a case of successful cardiac resynchronization therapy pacing (CRT-P) implantation in a 100-year-old patient.
• To evaluate the long-term efficacy and safety of CRT-P in a nonagenarian with multiple comorbidities.
• To highlight the potential benefits of CRT-P in improving quality of life for extremely elderly heart failure patients.

Main Methods:

• A case report of a 100-year-old male with atrial fibrillation (AF), left bundle branch block (LBBB), and ischemic heart disease.
• Successful implantation of a CRT-P device.
• Close post-implantation monitoring and a 4-year follow-up.

Main Results:

• The patient experienced significant symptomatic improvement after CRT-P implantation.
• Functional independence was maintained over a 4-year follow-up period.
• The CRT-P was well-tolerated with no major complications reported.

Conclusions:

• CRT-P can be a viable and beneficial treatment option for very elderly patients with heart failure, LVSD, and electrical dyssynchrony.
• This case demonstrates the potential for CRT-P to enhance quality of life and functional status in nonagenarians.
• Careful patient selection and monitoring are crucial for optimizing outcomes in this population.