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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Language: | English |
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Wiley
2020-01-01
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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. |
format | Article |
id | doaj-art-a8e97101f24d4c0285afbe2d2d3ef798 |
institution | Kabale University |
issn | 2090-6404 2090-6412 |
language | English |
publishDate | 2020-01-01 |
publisher | Wiley |
record_format | Article |
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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