A Case of Severe Mitral Valve Regurgitation in a Patient with Leadless Pacemaker

An 85-year-old man with cardiac history notable for atrial fibrillation diagnosed 10 years ago which was being treated with atenolol and warfarin presented to our institution with persistent atrial fibrillation. His echocardiogram showed ejection fraction (EF) of 56%, no regional wall motion abnorma...

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Main Authors: Srikala R. Gumireddy, Minako Katayama, Hari P. Chaliki
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2020/5389279
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author Srikala R. Gumireddy
Minako Katayama
Hari P. Chaliki
author_facet Srikala R. Gumireddy
Minako Katayama
Hari P. Chaliki
author_sort Srikala R. Gumireddy
collection DOAJ
description An 85-year-old man with cardiac history notable for atrial fibrillation diagnosed 10 years ago which was being treated with atenolol and warfarin presented to our institution with persistent atrial fibrillation. His echocardiogram showed ejection fraction (EF) of 56%, no regional wall motion abnormalities, mild mitral and pulmonary regurgitation, and trivial tricuspid regurgitation. Despite this treatment, he had recurrent episodes of paroxysmal symptomatic atrial fibrillation with a rapid rate requiring multiple emergency department visits and hospital admissions. Given difficulty to control the rate, he underwent atrioventricular (AV) nodal ablation and leadless pacemaker insertion. Fifteen days after the procedure, he was found to have a severe mitral regurgitation murmur.
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series Case Reports in Cardiology
spelling doaj-art-a8e97101f24d4c0285afbe2d2d3ef7982025-02-03T06:43:44ZengWileyCase Reports in Cardiology2090-64042090-64122020-01-01202010.1155/2020/53892795389279A Case of Severe Mitral Valve Regurgitation in a Patient with Leadless PacemakerSrikala R. Gumireddy0Minako Katayama1Hari P. Chaliki2Division of Cardiovascular Diseases, Mayo Clinic, Scottsdale, Arizona, USADivision of Cardiovascular Diseases, Mayo Clinic, Scottsdale, Arizona, USADivision of Cardiovascular Diseases, Mayo Clinic, Scottsdale, Arizona, USAAn 85-year-old man with cardiac history notable for atrial fibrillation diagnosed 10 years ago which was being treated with atenolol and warfarin presented to our institution with persistent atrial fibrillation. His echocardiogram showed ejection fraction (EF) of 56%, no regional wall motion abnormalities, mild mitral and pulmonary regurgitation, and trivial tricuspid regurgitation. Despite this treatment, he had recurrent episodes of paroxysmal symptomatic atrial fibrillation with a rapid rate requiring multiple emergency department visits and hospital admissions. Given difficulty to control the rate, he underwent atrioventricular (AV) nodal ablation and leadless pacemaker insertion. Fifteen days after the procedure, he was found to have a severe mitral regurgitation murmur.http://dx.doi.org/10.1155/2020/5389279
spellingShingle Srikala R. Gumireddy
Minako Katayama
Hari P. Chaliki
A Case of Severe Mitral Valve Regurgitation in a Patient with Leadless Pacemaker
Case Reports in Cardiology
title A Case of Severe Mitral Valve Regurgitation in a Patient with Leadless Pacemaker
title_full A Case of Severe Mitral Valve Regurgitation in a Patient with Leadless Pacemaker
title_fullStr A Case of Severe Mitral Valve Regurgitation in a Patient with Leadless Pacemaker
title_full_unstemmed A Case of Severe Mitral Valve Regurgitation in a Patient with Leadless Pacemaker
title_short A Case of Severe Mitral Valve Regurgitation in a Patient with Leadless Pacemaker
title_sort case of severe mitral valve regurgitation in a patient with leadless pacemaker
url http://dx.doi.org/10.1155/2020/5389279
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