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CASE REPORT

Appropriate Heart Rate in a Patient with Repaired Tetralogy of Fallot

Aya Miyazaki1,2,*, Hideki Uemura2, Yasuyo Takeuchi3, Junya Tomida4, Yasuo Ono1, Yoshifumi Fujimoto1, Norie Mitsushita1, Akio Ikai1

1 Department of Transitional Medicine, Division of Congenital Heart Disease, Shizuoka General Hospital, Shizuoka, Japan
2 Congenital Heart Disease Center, Nara Medical University, Kashihara, Japan
3 Department of Cardiology, Shizuoka General Hospital, Shizuoka, Japan
4 Department of Clinical Engineering, Shizuoka General Hospital, Shizuoka, Japan

* Corresponding Author: Aya Miyazaki. Email: email

Congenital Heart Disease 2022, 17(6), 647-652. https://doi.org/10.32604/chd.2022.021837

Abstract

Appropriate heart rate in a failing pulmonary ventricle remains unknown, particularly in congenital heart disease with unique hemodynamics. A 71-year-old male with repaired tetralogy of Fallot and a pacemaker for a sinus node dysfunction suffered from heart failure symptoms with preserved left ventricular function. Simply changing the pacemaker’s lower rate from 60 to 75 bpm, New York Heart Association classification improved from III to II, and hemodynamic parameters drastically improved. We regarded this case as informative. Appropriate heart rate could be higher in congenital patients with failing right and non-failing left ventricles than in adults with malfunctioning LV.

Graphical Abstract

Appropriate Heart Rate in a Patient with Repaired Tetralogy of Fallot

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Cite This Article

Miyazaki, A., Uemura, H., Takeuchi, Y., Tomida, J., Ono, Y. et al. (2022). Appropriate Heart Rate in a Patient with Repaired Tetralogy of Fallot. Congenital Heart Disease, 17(6), 647–652.



cc This work is licensed under a Creative Commons Attribution 4.0 International License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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