靠右心室起搏的婴儿产生了双心室起搏由此导致了心力衰竭病例（英文）.pptVIP

Biventricular pacing in a baby with RV pacing induced heart failure Male baby Antenatal at 21 week of gestation noted have bradycardia and AV block mother anti Ro, RF + ve LSCS at 35 weeks for progressive fetal heart failure, birth weight 2.36 kg Post-natal Respiratory distress CXR : cardiomegaly, CT ratio 67% Put on nasal CPAP + Isoprenaline infusion Transfer to TGH on the day of birth Echo showed normal heart structure, LVSF 38.9%, LVEDD 2.78cm LVEF 77.2% HR ~ 50-60/min, systolic BP 55mmHg while on isoprenaline infusion Epicardial pacemaker insertion the second day after admis