Significant mitral regurgitation regression by slight modification of the right ventricular pacing site

Dimitri Stepowski; Bénédicte Godin; Fabrice Bauer; Frédéric Anselme

doi:10.1093/europace/eur150

Significant mitral regurgitation regression by slight modification of the right ventricular pacing site

Europace. 2011 Nov;13(11):1659-60. doi: 10.1093/europace/eur150. Epub 2011 Jun 28.

Authors

Dimitri Stepowski¹, Bénédicte Godin, Fabrice Bauer, Frédéric Anselme

Affiliation

¹ Department of Cardiology, Rouen University Hospital, Rouen, France.

PMID: 21712279
DOI: 10.1093/europace/eur150

Abstract

A dual-chamber pacemaker was implanted because of symptomatic bradycardia in a 60-year-old patient free from other heart disease. Then, the patient developed acute congestive heart failure due to pacing-induced mitral regurgitation (MR). Under echocardiographic guidance, modification of location of the right ventricular pacing lead led to a significant decrease in MR severity resulting in immediate clinical improvement.

Publication types

Case Reports

MeSH terms

Bradycardia / therapy
Cardiac Pacing, Artificial / methods*
Echocardiography
Heart Failure / etiology
Humans
Male
Middle Aged
Mitral Valve Insufficiency / complications
Mitral Valve Insufficiency / diagnostic imaging
Mitral Valve Insufficiency / therapy*
Pacemaker, Artificial*
Treatment Outcome
Ventricular Dysfunction, Right / diagnostic imaging
Ventricular Dysfunction, Right / physiopathology*
Ventricular Septum / diagnostic imaging
Ventricular Septum / physiopathology