Loss of cardiac resynchronization therapy in a patient with a biventricular implantable cardioverter-defibrillator

Abstract

Here, we discuss the case of a man with a history of ischemic cardiomyopathy and cardiac resynchronization therapy defibrillator implantation, who presented to emergency department with decompensated heart failure due to the loss of resynchronization therapy. The reason for the malfunction was left ventricle upper rate interval lock-in due to inappropriate programming of the device. Keywords: Cardiac Resynchronization Therapy, Heart failure, Inhibition of pacing, Left ventricular sensing, Loss of resynchronization therapy