University of Massachusetts Medical School Faculty Publications

Title

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

UMMS Affiliation

Department of Medicine, Division of Cardiovascular Medicine

Date

3-2013

Document Type

Article

Medical Subject Headings

Pacemaker, Artificial; Regional Blood Flow

Disciplines

Cardiology | Cardiovascular Diseases | Diagnosis

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.

Rights and Permissions

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

Related Resources

Link to Article in PubMed