[CRT-FORUM] 29E CRT and pulmonary hypertension. Dr. Leyva

[CRT-INFO]

Dear Dr Artuza,
 
Anecdotally, my impression has been that patients with secondary 
pulmonary hypertension do not do well after CRT. I was, however, 
surprised to find a clinical improvement (NYHA class III to II) as well 
as a reduction in echo-derived (from the tricuspid regurgitation jet) 
pulmonary artery pressure from over 100 mmHg to < 40 mmHg. I have no 
explanations for this. However, it is possible that the tricuspid 
regurgitation was mediated via right ventricular dyssynchrony and that 
the latter was somehow corrected by CRT. I am due to do a repeat right 
heart catheterisation and I will keep you posted.
 
Kind regards,
 
Paco Leyva
> Greetings and congratulations beforehand, once again.
>
> I would like to know the opinion of the experts on the approach to 
> patients
> that meet criteria for the implantation of a resynchronization device, 
> who
> also have pulmonary hypertension, since there is little mentioned in the
> studies and in the international guidelines about this.
>
> Dr Carlos Rodriguez Artuza
> IECTAS. Maracaibo Venezuela.
>


-- 
Dr. Sergio Dubner
President of Scientific Committee

Dr. Edgardo Schapachnik
President of Steering Committee