A Novel pacing option in patients with endomyocardial fibrosis: A case series
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Date
2021-09
Journal Title
Journal ISSN
Volume Title
Publisher
Indian Pacing and Electrophysiology Journal
Abstract
Endomyocardial fibrosis (EMF) is characterized by fibrous tissue deposition on the endocardial surface leading to impaired filling of one or both ventricles, resulting in either right or left heart failure or both. Although Sinus node dysfunction and tachyarrhythmia - atrial fibrillation, ventricular tachycardia, have been commonly reported, complete heart block (CHB) necessitating a pacemaker is rare in EMF. Transvenous pacing is technically limited by fibrotic obliteration of the affected ventricle that results in poor lead parameters, and alternative pacing strategy like epicardial pacing may be required in many. We report three cases of EMF, who were treated with an alternative pacing strategy.
Description
Keywords
Atrial flutter; Complete heart block; Endomyocardial fibrosis; Epicardial pacing.
Citation
Sundaram C, Kartik VS, Namboodiri N, Ajitkumar VK. A Novel pacing option in patients with endomyocardial fibrosis: A case series. Indian Pacing and ElectrophysiologyJournal.2021Sep-Oct;21(5):303-307