Adverse effects of right ventricular pacing in a patient with aortic stenosis, Hemodynamic documentation and management.
A patient with moderate aortic stenosis, left ventricular hypertrophy, and a permanent right ventricular pacemaker for a sick sinus node presented with hypotension, dizziness, and angina pectoris with paced beats. The hemodynamics of pacing were documented with non-invasive and invasive studies. The patient was successfully treated with a programmable generator and pacing at a lower rate. The neccessity of evaluating the effects of a temporary pacemaker before insertion of a permanent one and of a reevaluation of the hemodynamic status in the presence of unexplained cardiac failure in a patient with permanent pacemaker are emphasized in this case report.
D000787:Angina Pectoris / Q000209:etiology*; D001024:Aortic Valve Stenosis / Q000150:complications*; D001146:Arrhythmia, Sinus / Q000150:complications / Q000628:therapy; D001794:Blood Pressure; D006328:Cardiac Catheterization; D006332:Cardiomegaly / Q000150:complications; D004562:Electrocardiography; D006352:Heart Ventricles; D006439:Hemodynamics; D006801:Humans; D007022:Hypotension / Q000209:etiology*; D007702:Kinetocardiography; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D010701:Phonocardiography; D011674:Pulse