Cardiac resynchronization therapy in a patient with pacemaker-induced cardiomyopathy

  • Maria Camila Luna España Fundación Santa Fe de Bogotá (Bogotá, Colombia)
  • Jainer José Méndez Flórez Fundación Santa Fe de Bogotá (Bogotá, Colombia)
  • Jose Alfredo Restrepo Fundación Santa Fe de Bogotá (Bogotá, Colombia)
  • Andrés Buitrago Sandoval Fundación Santa Fe de Bogotá (Bogotá, Colombia)

Abstract

There is a high prevalence of cardiac stimulation therapy complications; however, they are frequently forgotten by medical personnel. Cardiomyopathy secondary to biventricular dyssynchrony due to high right ventricular stimulation is a frequent cause of heart failure, increasing the risk of death and hospitalization and decreasing the quality of life of patients with pacemakers. We present a case of a patient who developed heart failure. The most common causes of left ventricular dysfunction were ruled out, and it was determined to be secondary to pacemaker-induced cardiomyopathy. The patient´s device was changed to biventricular cardiac resynchronization therapy, with an adequate clinical response. We highlight the importance of looking for complications related to right ventricular stimulation devices in patients with heart failure, and of considering a change to biventricular stimulation within the treatment plan

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Author Biographies

Maria Camila Luna España, Fundación Santa Fe de Bogotá (Bogotá, Colombia)
Médico y Cirujano. Universidad de los Andes. Residente de Medicina Interna. Universidad el Bosque
Jainer José Méndez Flórez, Fundación Santa Fe de Bogotá (Bogotá, Colombia)
Médico y Cirujano. Universidad de Antioquia. Especialista en Medicina Interna. Universidad Nacional de Colombia. Fellow Cardiología Clínica. Universidad el Bosque
Jose Alfredo Restrepo, Fundación Santa Fe de Bogotá (Bogotá, Colombia)
Especialista en medicina interna, cardiologia y electrofisiología
Andrés Buitrago Sandoval, Fundación Santa Fe de Bogotá (Bogotá, Colombia)
Especialista en Medicina interna, Cardiología, Epidemiología, master en insuficiencia cardiaca. Jefe de Cardiología y jefe asociado de cuidado crítico
Published
2019-11-09
How to Cite
Luna España, M. C., Méndez Flórez, J. J., Restrepo, J. A., & Buitrago Sandoval, A. (2019). Cardiac resynchronization therapy in a patient with pacemaker-induced cardiomyopathy. Acta Medica Colombiana, 44(4). https://doi.org/10.36104/amc.2019.1300
Section
Case Reports