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01-02-2017 | Case Report

Interventricular dyssynchrony in a patient with a biventricular physiology and a systemic right ventricle

Authors: Aya Miyazaki, Heima Sakaguchi, Kanae Noritake, Yosuke Hayama, Jun Negishi, Koji Kagisaki, Kenji Yasuda, Hajime Ichikawa, Hideo Ohuchi

Published in: Heart and Vessels | Issue 2/2017

Abstract

We describe of a unique pattern of cardiac dyssynchrony in a patient with a biventricular physiology and systemic right ventricle (RV): the interventricular dyssynchrony due to a contraction delay between the left ventricle and RV. In the present case, the cineangiography and intracardiac electrocardiography of the RV did not reveal intraventricular dyssynchrony of the RV, but revealed interventricular dyssynchrony. In addition, the pressure curves of the ventricles exhibited time phase differences between the two ventricles. The cardiac resynchronization therapy determining the pacing lead positions based on the idea of interventricular dyssynchrony induced reverse cardiac remodeling in this patient with systemic RV dysfunction.

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Title: Interventricular dyssynchrony in a patient with a biventricular physiology and a systemic right ventricle
Authors: Aya Miyazaki
Heima Sakaguchi
Kanae Noritake
Yosuke Hayama
Jun Negishi
Koji Kagisaki
Kenji Yasuda
Hajime Ichikawa
Hideo Ohuchi
Publication date: 01-02-2017
Publisher: Springer Japan
Published in: Heart and Vessels / Issue 2/2017
Print ISSN: 0910-8327
Electronic ISSN: 1615-2573
DOI: https://doi.org/10.1007/s00380-016-0876-0

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