Pol. Merkur. Lek (Pol. Med. J.), 2018, XLIV/259: 023-025 Maximize

Pol. Merkur. Lek (Pol. Med. J.), 2018, XLIV/259: 023-025

Title: Implantable cardioverter defibrillator does not cure the heart 

Authors: Sławuta A, Boczar K, Ząbek A, Gajek J, Lelakowski J, Vijayaraman P, Małecka B.

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Implantable cardioverter defibrillator does not cure the heart

Sławuta A1, Boczar K2, Ząbek A2, Gajek J3, Lelakowski J2,4, Vijayaraman P5, Małecka B2,4.

1Department of Cardiology, Klodzko County Hospital, Kłodzko, Poland; 2Department of Electrocardiology, John Paul II Hospital, Kraków, Poland; 3Department of Clinical Nursing, Wroclaw Medical University, Wrocław, Poland; 4Institute of Cardiology, Jagiellonian University Medical College, Kraków, Poland; 5Geisinger Heart Institute, Wilkes- Barre, Pennsylvania, USA

A man with non-ischemic cardiomyopathy, EF 22%, permanent AF and ICD was admitted for elective device replacement. The need for the optimization of the ventricular rate and avoidance of right ventricular pacing made it necessary to up-grade the existing pacing system using direct His bundle pacing and dual chamber ICD. This enabled the regularization of ventricular rate, avoiding the RV pacing and optimize the beta-blocker dose. The one month follow-up already showed reduction in left ventricle diameter, improvement in ejection fraction, NYHA class decrease to II. The His bundle pacing enabled the optimal treatment of the patient resulting in excellent clinical improvement.

Key words: direct His bundle pacing, cardioverter-defibrillator, atrial fibrillation, congestive heart failure

Pol Med J, 2018; XLIV (259); 23–25