Document Detail

Treatment of pacemaker induced severe mitral regurgitation with biventricular pacing in two patients with a normal left ventricular ejection fraction.
MedLine Citation:
PMID:  14675025     Owner:  NLM     Status:  MEDLINE    
This report describes two patients who developed severe mitral regurgitation and drug refractory congestive heart failure after implantation of a conventional pacemaker. Both patients had a normal left ventricular ejection fraction. Dramatic long-term improvement occurred following the institution of biventricular pacing that resulted in mild mitral regurgitation. The findings illustrate the benefit of cardiac resynchronization therapy in pacemaker induced left ventricular dyssynchrony causing severe mitral regurgitation and severe congestive heart failure in selected patients with a normal left ventricular ejection fraction.
James M Irwin; Matthew U Glover; S Serge Barold
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  26     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2003-12-16     Completed Date:  2004-07-26     Revised Date:  2005-09-13    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2333-5     Citation Subset:  IM    
St. Joseph's Hospital, Tampa, Florida, USA.
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MeSH Terms
Middle Aged
Mitral Valve Insufficiency / etiology*,  physiopathology,  therapy*
Pacemaker, Artificial / adverse effects*
Severity of Illness Index
Stroke Volume
Comment In:
Pacing Clin Electrophysiol. 2005 May;28(5):357-60   [PMID:  15869664 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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