Transiently elevated estimated pulmonary pressures in a patient with complete heart block undergoing permanent pacing: a case report.

ABSTRACT:

Background

Complete heart block (CHB) is a frequent cause for acute admission in older patients with significant cardiac conduction disease. Common presenting symptoms are syncope and dyspnoea. Some patients may exhibit clinical and radiological signs of left ventricular (LV) decompensation, despite preserved LV ejection fraction on transthoracic echocardiography (TTE) and absent pre-existing LV dysfunction.

Case summary

In this clinical report, we present a case of CHB associated with transient but severe elevation in pulmonary artery systolic pressure, measured as the equivalent right ventricular systolic pressure (RVSP = 99 mmHg) by TTE in the absence of right ventricular outflow tract obstruction, that subsequently 'normalized' after implantation of a permanent pacemaker

SUBMITTER: Harvey R 

PROVIDER: S-EPMC7319818 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature