Article Text

PDF
Heart failure in a patient with a pacemaker
  1. José Luis Moya-Mur,
  2. Rocio Hinojar,
  3. José Luis Zamorano
  1. Cardiology Department, Ramón y Cajal University Hospital, Madrid, Spain
  1. Correspondence to Dr Rocio Hinojar, Cardiology Department, Ramón y Cajal University Hospital, Carretera de Colmenar Km 9.100, Madrid 28034, Spain; rociohinojar{at}gmail.com

Statistics from Altmetric.com

Clinical introduction

A 76-year-old woman was admitted for progressive dyspnoea. Physical examination revealed basal pulmonary crepitations and peripheral oedema. Blood pressure was 135/75 mm Hg and heart rate 60 bpm. B-type natriuretic peptide (BNP) was 600 pg/mL; blood tests were otherwise unremarkable. The ECG showed continuous ventricular pacing and the echocardiogram revealed mild LV hypertrophy with a normal EF. Colour and continuous wave Doppler (CD, CWD) at different phases of the cardiac cycle are presented (figure 1).

Figure 1

2D transthoracic echocardiogram. Upper panel: continuous-wave Doppler recordings of the mitral flow. Lower panels: Colour flow Doppler at different phases of the cardiac cycle (red lines). VC, vena contracta.

Medical history included hypertension and a …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Linked Articles