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

Publication Date

2013-3

Document Type

Case Study

Subjects

Pacemaker, Artificial; Regional Blood Flow

Disciplines

Cardiology | Cardiovascular Diseases | Diagnosis | Equipment and Supplies | Pathological Conditions, Signs and Symptoms | Respiratory Tract Diseases

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.

Keywords

pacemaker, VVI, pacemaker syndrome, pulmonary vein

DOI of Published Version

10.1111/echo.12095

Source

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

Journal/Book/Conference Title

Echocardiography (Mount Kisco, N.Y.)

PubMed ID

23305160

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