Systolic pulmonary and hepatic vein flow reversal due to pacemaker-induced retrograde ventriculoatrial conduction
UMass Chan Affiliations
Department of Medicine, Division of Cardiovascular MedicineDocument Type
Case ReportPublication Date
2013-03-01Keywords
Pacemaker, ArtificialRegional Blood Flow
pacemaker
VVI
pacemaker syndrome
pulmonary vein
Cardiology
Cardiovascular Diseases
Diagnosis
Equipment and Supplies
Pathological Conditions, Signs and Symptoms
Respiratory Tract Diseases
Metadata
Show full item recordAbstract
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.12095Permanent Link to this Item
http://hdl.handle.net/20.500.14038/29353PubMed ID
23305160Related Resources
ae974a485f413a2113503eed53cd6c53
10.1111/echo.12095