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KMID : 0857020020170010142
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Kosin Medical Journal
2002 Volume.17 No. 1 p.142 ~ p.146
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Dual Chamber Pacemaker Therapy in a Patient with Congestive Heart Failure and Left Bundle Branch Block
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Kim Chan-Ook
Kim Seong-Man
Kim Min-Dae
Kwon Sung-Il
Seo Soo-Hong
Choi Byoung-Joo
Joo Seung-Jae
Lee Jae-Woo
Cha Tae-Joon
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Abstract
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Epidemiological studies suggest that 30-50% of patients diagnosed with symptomatic congestive heart failure(CHF) have electrocardiographic evidence of a major intraventricular conduction delay, which may worsen left ventricular systolic and diastolic dysfunction through asynchronous ventricular contraction and paradoxical interventricular septal wall motion. Biventricular pacing is an emerging therapy allowing simultaneous electrical stimulation of the both ventricles with an implantable pacing system and it improves hemodynamics and well-being of patient by reducing ventricular asynchrony. Recently, we underwent biventricular DDD pacemaker implantation in a patient with CHF and Left bundle branch block and was significantly improved exercise tolerance and quality of life in that patient.
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KEYWORD
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Dual chamber pacemaker, Congestive heart failure, Left bundle branch block
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FullTexts / Linksout information
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Listed journal information
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