Patient Condition
Ischemic cardiomyopathy HFrEF, LVEF 27%, NYHA class III, LBBB (QRS 155ms), history of persistent ventricular tachycardia. He has received optimized medication but is still repeatedly hospitalized for heart failure and arrhythmia.
Treatment Timeline
| Phase | Details | Date |
|---|
| Comprehensive preoperative assessment | | |
| Ventricular tachycardia ablation +CRT-D implantation | | |
| postoperative management | | |
| long-term follow-up | | |
Treatment Outcome
| before | LVEF 27%, NYHA class III, persistent ventricular tachycardia, 3 hospitalizations per year |
|---|
| after | LVEF 43%, NYHA class II, no ventricular tachycardia during follow-up period, 0 hospitalizations per year |
|---|
| highlight | Ventricular tachycardia ablation combined with CRT-D implantation eliminated arrhythmia, increased LVEF by 16%, and returned to zero hospitalization rate |
|---|