シガ　ツヨシ   Shiga Tsuyoshi   志賀　剛    所属   医学部 医学科（東京女子医科大学病院）    職種   客員教授
言語種別	英語
発表タイトル	Importance of physiological pacing on right heart failure in a case with left ventricular noncompaction and left ventricular assist device
会議名	The 21st Annual Scientific Meeting of the Japanese Heart Failure Society
主催者	Japanese Heart Failure Society
学会区分	全国規模の学会
発表形式	口頭
講演区分	一般
発表者・共同発表者	◎HATA Takehiro, SERIZAWA Naoki, TATEISHI Minori, KIKUCHI Noriko, SUZUKI Atsushi, SHIGA Tsuyoshi, SAITO Satoshi, NUNODA Shinichi, YAMAZAKI Kenji, HAGIWARA Nobuhisa
発表年月日	2017/10/13
開催地 （都市, 国名）	Akita, JAPAN
学会抄録	Journal of Cardiac Failure 23(10),S50 2017
概要	Eighteen-year-old man complained of dyspnea on exercise in 2011 at his13 years old, and was diagnosed as left ventricular noncompaction (LVNC) and pulmonary hypertension (PAWP 38 mmHg, mPAP 56 mmHg, PVR 3.4 W.U.) in 2013. After his optical medical therapy, he was frequently admitted due to heart failure (HF) and nonsustained ventricular tachycardia. He received implantable cardioverter defibrillator (VVIICD) and was registered as a candidate of heart transplantation in Japan in 2014. In the following year, he underwent implantation of a left ventricular assist device (Heart Mate II). After his surgery, tailored medications on his pulmonary arterial hypertension were administered, and his pulmonary circulation was improved (PAWP 19 mmHg, mPAP 28 mmHg, PVR 2.4 W.U.). However, in spite of adjustment of not only medications but pump rotation speed tricuspid, regurgitation (TR) became worse and right HF was still remained. In 2016, we added an atrial lead and changed his pacing mode from VVI to AAI pacing to improve TR, LV dysfunction, and dyssynchrony of his both ventricles, and then, TR reduced and no history of his admission due to HF has been significantly observed. From our experience, physiological pacing would be effective to manage right HF in patients with LVNC and LVAD.