Why the study?
Does dual chamber pacing (DDD) with right atrial and isolated left ventricular pacing serve as a cost-effective alternative to CRT in patients with severe systolic heart failure and LBBB?
Case Report (n=1)
No
Does dual chamber pacing (DDD) with right atrial and isolated left ventricular pacing serve as a cost-effective alternative to CRT in patients with severe systolic heart failure and LBBB?
Answers are grounded in this paper and cite their sources.
Dual chamber pacing with right atrial and isolated left ventricular pacing is proposed as a potentially cost-effective alternative to CRT for patients with severe systolic heart failure.
Patients with severe systolic Heart Failure continue to have poor quality of life and increased mortality in spite of optimal medical management. Cardiac Resynchronization Therapy [CRT] is promising modality in patients with systolic heart failure and electrocardiographic [ECG] evidence of left bundle branch block [LBBB]. Cost issues continue to elude many deserving cases of this therapy in our society. Relatively cost effective Dual chamber pacing [DDD] with right atrial and isolated left ventricular pacing [RA-LV] can be a good alternative.
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N C Krishnamani (2016) conducted a case report in Severe heart failure with left bundle branch block (LBBB) (n=1). Dual Chamber Pacemaker (DDD) with Right Atrial and isolated Left Ventricular pacing vs. Baseline (pre-implantation) was evaluated on Left ventricular ejection fraction (LVEF).
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