[CRT-FORUM] 34E 4 years old girl, with a Dilated Cardiomiopathy. Dr. Scheinman

[CRT-INFO]

If the pathway is on the right side the patient will have a LBBB pattern due
the preexcitation.The point is, that ablation alone might improve LV
function.We have had a similar case in an older patient.

"Melvin Scheinman" <scheinman at medicine.ucsf.edu>
 
> Dr Pedro (Cuba),
>
> Of course the CRT device can be implanted, but the risk in patients 
> with WPW
> is the possibility of arrhythmias induced by the system, both in 
> anterograde
> and retrograde fashion, so you would be posing the ablation of the WPW at
> the time of the CRT device implantation.
>
> Regards,
>
> Dr Mauricio Rondón
> Sección de Electrofisiología y Marcapasos
> Servicio de Cardiología - HUC
> Jefe de Emergencia del HUC
> Caracas - Venezuela
>> COLLEAGUES OF THE CRT SYMPOSIUM : My name is Pedro de la Paz, a 
>> pediatric cardiologist of Matanzas, Cuba. I would ask you about a 4 
>> years old girl, with a Dilated Cardiomiopathy, symptomatic (class 
>> II-III NYHA) with severe depressed LVEF, less than 30%, under 
>> treatment with furosemide, spironolactone, captopril and carvedilol,  
>> a WPW syndrome and a simple sinusal arrhythmia (probable sinus node 
>> dysfunction),  is it possible to consider the electrical device 
>> implantation (PM), to improve her VI disfunction ?
>>
>> thanks Dr Pedro (Cuba)
>>
>
>


-- 
Dr. Sergio Dubner
President of Scientific Committee

Dr. Edgardo Schapachnik
President of Steering Committee