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
Journal/Book/Conference Title
Echocardiography (Mount Kisco, N.Y.)
PubMed ID
23305160
Repository Citation
Shaikh AY, Meyer TE, Robotis DA, Aurigemma GP, Tighe DA. (2013). Systolic pulmonary and hepatic vein flow reversal due to pacemaker-induced retrograde ventriculoatrial conduction. University of Massachusetts Medical School Faculty Publications. https://doi.org/10.1111/echo.12095. Retrieved from https://escholarship.umassmed.edu/faculty_pubs/158