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The Acute Effects of Transvenous Biventricular Pacing in a Patient With Congestive Heart Failure*

Marianne Debrunner, MD; Barbara Naegeli, MD; Osmund Bertel, MD
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*From the Division of Cardiology, Department of Internal Medicine, Stadtspital Triemli, Zürich, Switzerland.

Correspondence to: Barbara Naegeli, MD, Division of Cardiology, Department of Internal Medicine, Stadtspital Triemli, CH-8063 Zürich, Switzerland; e-mail: cardio.triemli@datacomm.ch



Chest. 2000;117(6):1798-1800. doi:10.1378/chest.117.6.1798
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The management of congestive heart failure remains an issue of great interest. Encouraging data emerged over the last 2 years supporting the use of multisite pacing in patients with severe congestive heart failure and intraventricular conduction delay. We present a case of acute biventricular pacing in a 81-year old man with dilated cardiomyopathy and symptomatic congestive heart failure. This novel form of pacemaker treatment resulted in a rapid hemodynamic and clinical improvement.

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