[CRT-FORUM] 44S 4-year-old girl with dilated cardiomyopathy. Dr. Rondon

[CRT-INFO]

I think I somehow disagree with the experience of CRT in children.
We are not people with a lot of experience on CRT in children, but the
cases in which they were implanted, we had no doubt of the benefits and
their survival. What I do believe is that they are much more controlled 
and cared for, and that is why I think our response was not that bad. I 
do believe that we should, as in all cases, place the left electrode the 
best way possible, and in a good lateral vessel…not just placing the 
electrode carelessly, and this is where I think the difference of 
results in the case may be. Personally, with children, I am much more 
demanding with the lateral or postero-lateral vessel, and I check, 
whenever possible, with early echo the possibility to adjust by Quickpot 
or by echocardiographic control of AV and PV delay, as well as VV delay.
I think these are not the ideal cases, but when they do show up, I do 
not hesitate to place them if I’m going to give them the chance. I am 
clear in that we should choose the best option possible for the case, 
and I equally agree that we should not implant a device when there is 
narrow QRS, since probably the improvement will be pyrrhic.
Thank you for these discussions that are so nice, and that help us 
everyday to do things better.

Dr Mauricio Rondón
Sección de Electrofisiología y Marcapasos Servicio de Cardiología - HUC 
Jefe de Emergencia del HUC


-- 
Dr. Sergio Dubner
President of Scientific Committee

Dr. Edgardo Schapachnik
President of Steering Committee