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    Systolic pulmonary and hepatic vein flow reversal due to pacemaker-induced retrograde ventriculoatrial conduction

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    Authors
    Shaikh, Amir Y.
    Meyer, Theo E.
    Robotis, Dionyssios A.
    Aurigemma, Gerard P.
    Tighe, Dennis A.
    UMass Chan Affiliations
    Department of Medicine, Division of Cardiovascular Medicine
    Document Type
    Case Report
    Publication Date
    2013-03-01
    Keywords
    Pacemaker, Artificial
    Regional Blood Flow
    pacemaker
    VVI
    pacemaker syndrome
    pulmonary vein
    Cardiology
    Cardiovascular Diseases
    Diagnosis
    Equipment and Supplies
    Pathological Conditions, Signs and Symptoms
    Respiratory Tract Diseases
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    Link to Full Text
    http://dx.doi.org/10.1111/echo.12095
    Abstract
    Systolic pulmonary and hepatic vein flow reversals can typically be seen with severe atrioventricular (AV) valve regurgitation and during atrial fibrillation (AF). We report the case of a 67-year-old woman who presented with recent-onset exertional dyspnea. Her pacemaker was near end-of-life and reverted to a VVI mode from the preset DDDR mode. Electrocardiography demonstrated retrograde 1:1 ventriculoatrial (VA) conduction and spectral Doppler analysis revealed prominent systolic pulmonary and hepatic vein flow reversals. Symptoms, electrocardiogram (ECG) findings, and the spectral Doppler abnormalities resolved completely following a generator replacement and resumption of DDDR pacing.
    Source

    Echocardiography. 2013 Mar;30(3):E61-3. doi: 10.1111/echo.12095.Link to article on publisher's site

    DOI
    10.1111/echo.12095
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/29353
    PubMed ID
    23305160
    Related Resources

    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1111/echo.12095
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