alexa Not Enough QRS Shortening? Keep Calm and Add Another Lead
ISSN: 2165-7920

Journal of Clinical Case Reports
Open Access

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Case Report

Not Enough QRS Shortening? Keep Calm and Add Another Lead

Jesús Jiménez-López*, Ermengol Vallès, Oscar Alcalde, Begoña Benito, Sandra Cabrera and Julio Martí-Almor

Department of Medicine, Electrophysiology Unit, Cardiovascular Division, Hospital del Mar, Universitat Autònoma de Barcelona, Barcelona, Spain

*Corresponding Author:
Jesús Jiménez-López
Department of Medicine
Electrophysiology Unit
Cardiovascular Division
Hospital del Mar
Universitat Autònoma de Barcelona
Barcelona, Spain
Tel: +34932483118
Fax: +34932483371
E-mail: [email protected]

Received April 03, 2016; Accepted May 12, 2016; Published May 17, 2016

Citation: Jiménez-López J, Vallès E, Alcalde O, Benito B, Cabrera S, et al. (2016) Not Enough QRS Shortening? Keep Calm and Add Another Lead. J Clin Case Rep 6:789. doi:10.4172/2165-7920.1000789

Copyright: © 2016 Jiménez-López J, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Cardiac resynchronization therapy (CRT) diminishes symptoms and reduces hospitalization and mortality in patients with heart failure, LV dysfunction and left bundle branch block. However, up to one third of patients do not respond to CRT. In that regard, few initial studies presenting multisite pacing have shown encouraging results, demonstrating both feasibility and safety in placing a second CS lead in >80% of patients intended, with further QRS shortening, which is the most powerful predictor of LV reverse remodelling.

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