Patient Condition
Young DCM patients have HFrEF, LVEF 22%, NYHA class III, LBBB (QRS 170ms), and frequent premature ventricular beats. Heart failure progresses rapidly and has limited drug optimization.
Treatment Timeline
| Phase | Details | Date |
|---|
| preoperative evaluation | | |
| CRT-D implant | | |
| Postoperative drug optimization | | |
| follow-up management | | |
Treatment Outcome
| before | LVEF 22%, NYHA class III, QRS 170ms, 6-minute walk distance 230m |
|---|
| after | LVEF 42%, NYHA class II, QRS 125ms, 6-minute walking distance 400m |
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| highlight | After CRT-D implantation, LVEF increased by 20% and cardiac function recovered significantly in young DCM patients |
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