Brown M D, Frommelt P C
Division of Pediatric Cardiology, Department of Pediatrics, Children's Hospital of Wisconsin, Medical College of Wisconsin, 9000 W. Wisconsin Avenue, Milwaukee, WI, 53226, USA.
Pediatr Cardiol. 2006 Jan-Feb;27(1):128-130. doi: 10.1007/s00246-005-1054-9.
Inappropriate timing or duration of the atrioventricular (AV) interval with DDD pacing can lead to hemodynamic compromise. Intraoperative pulmonary venous Doppler interrogation by transesophageal echocardiography can be a valuable tool to assess subtle rhythm abnormalities that may go unnoticed by electrocardiogram and hemodynamic monitoring. We describe a dramatic example of hemodynamic improvement following pacemaker adjustment after pulmonary venous Doppler identified an inappropriately short AV interval.
