Key result
Ventricular pacing in a patient with complete heart block and moderate aortic valve disease produced hemodynamically important physiological pressure waveform changes.
Case Report (n=1)
Ventricular pacing in a patient with complete heart block and mixed moderate aortic valve disease resulted in significant hemodynamic pressure waveform changes.
Ventricular pacing may cause important hemodynamic changes in complete heart block with aortic valve disease; leaves open generalizability from single case.
Conduction disturbances in the setting of calcific aortic valve disease have been well documented in the literature. In this report we describe a case of a patient who presented in complete heart block and dyspnea on exertion. Subsequent non-invasive and invasive studies revealed moderate aortic stenosis and regurgitation with preserved left ventricular function. Hemodynamically important physiological pressure waveform changes occurred before and after pacing the ventricles and are highlighted here.
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Karim et al. (1996) conducted a case report in Complete heart block and aortic valve stenosis and regurgitation (n=1). Ventricular pacing vs. Pre-pacing was evaluated on Hemodynamic physiological pressure waveform changes. Ventricular pacing in a patient with complete heart block and moderate aortic valve disease produced hemodynamically important physiological pressure waveform changes.
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