Urgent cardiac resynchronization therapy is useful in patients with decompensated heart failure requiring inotropes and mechanical circulatory support

Daisuke Yakabe, Yasushi Mukai, Shunsuke Kawai, Kazuhiro Nagaoka, Takeo Fujino, Taiki Higo, Akiko Chishaki, Hiroyuki Tsutsui

Research output: Contribution to journalArticle

Abstract

Although cardiac resynchronization therapy (CRT) is beneficial in patients with heart failure (HF) and left ventricular dyssynchrony, its effectiveness has not been established in patients with decompensated HF on mechanical support. Here, we report two patients with decompensated HF depending on inotropes and intra-aortic balloon pumping (IABP), who were rescued by urgent CRT implantations. Both patients had non-ischemic cardiomyopathy with wide QRS of left bundle brunch block. IABP could be weaned just after introducing CRT. CRT can dramatically improve hemodynamics even in severely decompensated HF, and thus could be considered when left ventricular dyssynchrony is present. <Learning objective: The efficacy of cardiac resynchronization therapy (CRT) for acutely decompensated heart failure (HF) is controversial. However, the patients with wide QRS complex with left bundle brunch block and non-ischemic etiology can be the candidates of CRT implantation in order to wean inotrope and mechanical circulatory support.>

Original languageEnglish
Pages (from-to)52-56
Number of pages5
JournalJournal of Cardiology Cases
Volume18
Issue number2
DOIs
Publication statusPublished - Aug 1 2018

Fingerprint

Cardiac Resynchronization Therapy
Heart Failure
Intra-Aortic Balloon Pumping
Cardiomyopathies
Hemodynamics

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cite this

Urgent cardiac resynchronization therapy is useful in patients with decompensated heart failure requiring inotropes and mechanical circulatory support. / Yakabe, Daisuke; Mukai, Yasushi; Kawai, Shunsuke; Nagaoka, Kazuhiro; Fujino, Takeo; Higo, Taiki; Chishaki, Akiko; Tsutsui, Hiroyuki.

In: Journal of Cardiology Cases, Vol. 18, No. 2, 01.08.2018, p. 52-56.

Research output: Contribution to journalArticle

@article{78383ad2ee15447ea7d39930a2588349,
title = "Urgent cardiac resynchronization therapy is useful in patients with decompensated heart failure requiring inotropes and mechanical circulatory support",
abstract = "Although cardiac resynchronization therapy (CRT) is beneficial in patients with heart failure (HF) and left ventricular dyssynchrony, its effectiveness has not been established in patients with decompensated HF on mechanical support. Here, we report two patients with decompensated HF depending on inotropes and intra-aortic balloon pumping (IABP), who were rescued by urgent CRT implantations. Both patients had non-ischemic cardiomyopathy with wide QRS of left bundle brunch block. IABP could be weaned just after introducing CRT. CRT can dramatically improve hemodynamics even in severely decompensated HF, and thus could be considered when left ventricular dyssynchrony is present. <Learning objective: The efficacy of cardiac resynchronization therapy (CRT) for acutely decompensated heart failure (HF) is controversial. However, the patients with wide QRS complex with left bundle brunch block and non-ischemic etiology can be the candidates of CRT implantation in order to wean inotrope and mechanical circulatory support.>",
author = "Daisuke Yakabe and Yasushi Mukai and Shunsuke Kawai and Kazuhiro Nagaoka and Takeo Fujino and Taiki Higo and Akiko Chishaki and Hiroyuki Tsutsui",
year = "2018",
month = "8",
day = "1",
doi = "10.1016/j.jccase.2018.04.004",
language = "English",
volume = "18",
pages = "52--56",
journal = "Journal of Cardiology Cases",
issn = "1878-5409",
publisher = "Elsevier Limited",
number = "2",

}

TY - JOUR

T1 - Urgent cardiac resynchronization therapy is useful in patients with decompensated heart failure requiring inotropes and mechanical circulatory support

AU - Yakabe, Daisuke

AU - Mukai, Yasushi

AU - Kawai, Shunsuke

AU - Nagaoka, Kazuhiro

AU - Fujino, Takeo

AU - Higo, Taiki

AU - Chishaki, Akiko

AU - Tsutsui, Hiroyuki

PY - 2018/8/1

Y1 - 2018/8/1

N2 - Although cardiac resynchronization therapy (CRT) is beneficial in patients with heart failure (HF) and left ventricular dyssynchrony, its effectiveness has not been established in patients with decompensated HF on mechanical support. Here, we report two patients with decompensated HF depending on inotropes and intra-aortic balloon pumping (IABP), who were rescued by urgent CRT implantations. Both patients had non-ischemic cardiomyopathy with wide QRS of left bundle brunch block. IABP could be weaned just after introducing CRT. CRT can dramatically improve hemodynamics even in severely decompensated HF, and thus could be considered when left ventricular dyssynchrony is present. <Learning objective: The efficacy of cardiac resynchronization therapy (CRT) for acutely decompensated heart failure (HF) is controversial. However, the patients with wide QRS complex with left bundle brunch block and non-ischemic etiology can be the candidates of CRT implantation in order to wean inotrope and mechanical circulatory support.>

AB - Although cardiac resynchronization therapy (CRT) is beneficial in patients with heart failure (HF) and left ventricular dyssynchrony, its effectiveness has not been established in patients with decompensated HF on mechanical support. Here, we report two patients with decompensated HF depending on inotropes and intra-aortic balloon pumping (IABP), who were rescued by urgent CRT implantations. Both patients had non-ischemic cardiomyopathy with wide QRS of left bundle brunch block. IABP could be weaned just after introducing CRT. CRT can dramatically improve hemodynamics even in severely decompensated HF, and thus could be considered when left ventricular dyssynchrony is present. <Learning objective: The efficacy of cardiac resynchronization therapy (CRT) for acutely decompensated heart failure (HF) is controversial. However, the patients with wide QRS complex with left bundle brunch block and non-ischemic etiology can be the candidates of CRT implantation in order to wean inotrope and mechanical circulatory support.>

UR - http://www.scopus.com/inward/record.url?scp=85046701480&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85046701480&partnerID=8YFLogxK

U2 - 10.1016/j.jccase.2018.04.004

DO - 10.1016/j.jccase.2018.04.004

M3 - Article

AN - SCOPUS:85046701480

VL - 18

SP - 52

EP - 56

JO - Journal of Cardiology Cases

JF - Journal of Cardiology Cases

SN - 1878-5409

IS - 2

ER -