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We present, for the first time, a unique case of AV dyssynchrony causing recurrent hypotension and ventricular fibrillation in such a patient, followed by immediate return to hemodynamic stability after restoring AV synchrony. Our case also highlights the novel use of a Damato multi\u2010polar catheter for coronary sinus pacing to achieve AV synchrony.<\/jats:p>","DOI":"10.1002\/ccd.29537","type":"journal-article","created":{"date-parts":[[2021,2,6]],"date-time":"2021-02-06T09:11:00Z","timestamp":1612602660000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Optimizing mechanical circulatory support hemodynamics using coronary sinus pacing"],"prefix":"10.1002","volume":"98","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4609-5063","authenticated-orcid":false,"given":"Hassan","family":"Tahir","sequence":"first","affiliation":[{"name":"Department of Cardiology University of Tennessee Medical Center, Heart Lung Vascular Institute  Knoxville TN"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Tonks","sequence":"additional","affiliation":[{"name":"Department of Cardiology University of Tennessee Medical Center, Heart Lung Vascular Institute  Knoxville TN"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Cox","sequence":"additional","affiliation":[{"name":"Department of Cardiology University of Tennessee Medical Center, Heart Lung Vascular Institute  Knoxville TN"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raj","family":"Baljepally","sequence":"additional","affiliation":[{"name":"Department of Cardiology University of Tennessee Medical Center, Heart Lung Vascular Institute  Knoxville TN"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,2,4]]},"reference":[{"issue":"3","key":"e_1_2_8_2_1","first-page":"301","article-title":"Single chamber ventricular compared with dual chamber pacing: a review","volume":"18","author":"Wong GC","year":"2002","journal-title":"Can J Cardiol"},{"doi-asserted-by":"publisher","key":"e_1_2_8_3_1","DOI":"10.1016\/j.jcin.2017.06.027"},{"doi-asserted-by":"publisher","key":"e_1_2_8_4_1","DOI":"10.1093\/qjmed\/hcy088"},{"doi-asserted-by":"publisher","key":"e_1_2_8_5_1","DOI":"10.1016\/S0735-1097(18)32898-5"},{"doi-asserted-by":"publisher","key":"e_1_2_8_6_1","DOI":"10.4244\/EIJ-D-18-01021"},{"doi-asserted-by":"publisher","key":"e_1_2_8_7_1","DOI":"10.1186\/s13054-015-1073-8"},{"doi-asserted-by":"publisher","key":"e_1_2_8_8_1","DOI":"10.1016\/S0735-1097(20)33416-1"},{"doi-asserted-by":"publisher","key":"e_1_2_8_9_1","DOI":"10.1016\/j.hrtlng.2018.12.002"},{"key":"e_1_2_8_10_1","first-page":"1180","article-title":"Permanent left atrial pacing with a specifically designed coronary sinus lead","volume":"18","author":"Daubert C","year":"1995","journal-title":"Pacing Clin Electrophysiol"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.29537","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.29537","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.29537","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T13:18:21Z","timestamp":1692710301000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.29537"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,4]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,7]]}},"alternative-id":["10.1002\/ccd.29537"],"URL":"https:\/\/doi.org\/10.1002\/ccd.29537","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"type":"print","value":"1522-1946"},{"type":"electronic","value":"1522-726X"}],"subject":[],"published":{"date-parts":[[2021,2,4]]},"assertion":[{"value":"2020-10-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-01-17","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-02-04","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}