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Systolic Pulmonary and Hepatic Vein Flow Reversal Due to Pacemaker‐Induced Retrograde Ventriculoatrial Conduction
Author(s) -
Shaikh Amir Y.,
Meyer Theo E.,
Robotis Dionyssios A.,
Aurigemma Gerard P.,
Tighe Dennis A.
Publication year - 2013
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.12095
Subject(s) - medicine , cardiology , atrial fibrillation , pulmonary vein , regurgitation (circulation) , anesthesia
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 D oppler analysis revealed prominent systolic pulmonary and hepatic vein flow reversals. Symptoms, electrocardiogram ( ECG ) findings, and the spectral D oppler abnormalities resolved completely following a generator replacement and resumption of DDDR pacing.