POBA pada Stenosis Sinus Koronarius Saat Implantasi CRT
Abstract
Seorang laki-laki 54 tahun dengan PJK dan gagal jantung refrakter sekalipun diberikan terapi yang optimal. EKG menunjukkan gambaran irama sinus dengan RBBB, interval PR 240 mdet dan durasi QRS 160 mdet. Pemeriksaan ekokardiografi menunjukkan fungsi sistolik yang rendah dengan EF 15%, dilatasi LV dan terdapat bukti disinkroni intraventrikular.Terapi rutin pasien meliputi dosis optimal ACE inhibitor, ARB, beta blocker, lasix, spironolacton, nitrat, dan aspirin. Akan tetapi pasien masih sangat simtomatik dengan kelas fungsional NYHA kelas IV. Diputuskan untuk dilakukan pemasangan CRT.
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References
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Constans MM, Asirvatham SJ. An approach to overcoming specific difficulties with cardiac resynchronization therapy in children. Indian Pacing Electrophysiol J. 2008;8(Suppl.1): S105-S121.
Leclercq JF, Chouty F, Cauchemez B, Leenhardt A, Coumel P, Slama R. Results of electrical fulguration in arrhythmogenic right ventricular disease. Am J Cardiol. 1988;62:220-4.
Cleland JG, Daubert JC, Erdmann E, dkk. The effect of cardiac resynchronization on morbidity and mortality in heart failure. N Engl J Med. 2005;352:1539-49.
Epstein AE, Dimarco JP, Ellenbogen JA, dkk. ACC/AHA/HRS 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities. J Am Coll Cardiol. 2008;51:e61-62.
Egoavil CA, Ho RT, Greenspon AJ, Pavri BB. Cardiac resynchronization therapy in patients with right bundle branch block: analysis of pooled data from the MIRACLE and Contak CD trials. Heart Rhythm. 2005;2:616-8.
Cho GY, Song JK, Park WJ, Han SW, Choi SH, Doo YC, dkk. Mechanical dyssynchrony assessed by tissue doppler imaging is a powerful predictor of mortality in congestive heart failure with normal QRS duration. Am Coll Cardiol. 2005;46:2237-2243.
Hansky B, Lamp B, Minami K, Heintze J, Krater L, Horstkotte D, dkk. Coronary vein balloon angioplasty for left ventricular pacemaker lead implantation. J Am Coll Cardiol. 2002;40: 2144-9.
Constans MM, Asirvatham SJ. An approach to overcoming specific difficulties with cardiac resynchronization therapy in children. Indian Pacing Electrophysiol J. 2008;8(Suppl.1): S105-S121.
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How to Cite
Yuniadi, Y. (1). POBA pada Stenosis Sinus Koronarius Saat Implantasi CRT. Indonesian Journal of Cardiology, 29(3), 128-131. https://doi.org/10.30701/ijc.v29i3.185
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