TY - JOUR T1 - Heart failure in a patient with a pacemaker JF - Heart JO - Heart SP - 484 LP - 484 DO - 10.1136/heartjnl-2014-306604 VL - 101 IS - 6 AU - José Luis Moya-Mur AU - Rocio Hinojar AU - José Luis Zamorano Y1 - 2015/03/15 UR - http://heart.bmj.com/content/101/6/484.abstract N2 - 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 … ER -