January 2019 Br J Cardiol 2019;26:36–7 doi:10.5837/bjc.2019.006
Lal H Mughal, Andrew R Houghton, Jeffrey Khoo
Case history A 79-year-old woman with a background history of non-ischaemic dilated cardiomyopathy with severe left ventricular (LV) impairment, left-bundle branch block (LBBB) with QRS duration 130–140 ms and LV dyssynchrony, underwent cardiac resynchronisation device implantation after optimisation of her heart failure medication. She continued to remain breathless (New York Heart Association [NYHA] grade III) even after implantation of the device. Device interrogation revealed only 50% pacing due to interference by predominantly unifocal ventricular ectopics (VEs) with VE load of 20% on 24-hour Holter monitoring (figure 1), which did not
June 2014 Br J Cardiol 2014;21:62–3
Heather Wetherell
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