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World J Cardiol. Sep 26, 2013; 5(9): 355-358
Published online Sep 26, 2013. doi: 10.4330/wjc.v5.i9.355
Published online Sep 26, 2013. doi: 10.4330/wjc.v5.i9.355
Cardiac resynchronization therapy in acute pulmonary edema: A case report
Emad A Barsoum, Deepak Asti, Department of Medicine, Staten Island University Hospital, New York, NY 10305, United States
Tariq Bhat, Marcin Kowalski, Thomas Vazzana, Division of Cardiology, Staten Island University Hospital, New York, NY 10305, United States
Author contributions: All the authors contributed to this manuscript.
Correspondence to: Dr. Emad A Barsoum, MD, Department of Medicine, Staten Island University Hospital, 475 Seaview Ave, Staten Island, New York, NY 10305, United States. emad_barsoum@siuh.com
Telephone: +1-347-6669321 Fax: +1-718-2268695
Received: July 14, 2013
Revised: August 14, 2013
Accepted: August 20, 2013
Published online: September 26, 2013
Processing time: 74 Days and 9.7 Hours
Revised: August 14, 2013
Accepted: August 20, 2013
Published online: September 26, 2013
Processing time: 74 Days and 9.7 Hours
Core Tip
Core tip: Our case demonstrates that biventricular pacing (cardiac resynchronization therapy pacemaker, CRT-P) can be an effective modality of treatment in acute congestive heart failure. In particular, it can be used when it is secondary to left ventricular dysfunction and severe mitral regurgitation attributed to significant dyssynchrony created by right ventricular pacing in patients with atrioventricular (AV) nodal ablation for chronic atrial fibrillation. our case matches recent update to guidelines that CRT can be useful in patients with atrial fibrillation and left ventricular ejection fraction (LVEF) ≤ 35% if AV nodal ablation will allow ventricular pacing with CRT except our patient has LVEF > 35%.