Doppler echocardiography and cardiac pacing

  • Gilbert J. Perry
  • Navin C. Nanda
Part of the Developments in Cardiovascular Medicine book series (DICM, volume 96)


The ability of Doppler echocardiography to evaluate changes in flow non-invasively on a beat to beat basis has made it quite valuable as a means of evaluating pacemaker physiology. Combined Doppler echocardiographic studies of the left atrium and mitral inflow have been used to evaluate left atrial size and function [1, 2] while Doppler echocardiographic studies of aortic flow velocity have been used to evaluate the effect of different pacing modes or different AV intervals on resting stroke volume [1, 3–10]. These studies are useful in evaluating patients for ventricular versus dual chamber pacemakers, and for optimizing the AV interval in patients who have received dual chamber pacemakers. Doppler echocardiographic studies can also be used to document atrial capture [11] to exclude pacemaker induced valvular regurgitation [3] and to investigate the hemodynamic alterations in patients with the pacemaker syndrome. This chapter will review the role that combined Doppler echocardiographic studies have played in improving our understanding of pacemaker physiology, and the clinical applications of these techniques.


Stroke Volume Mitral Regurgitation Doppler Echocardiography Atrial Capture Ventricular Pace 
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Copyright information

© Kluwer Academic Publishers 1989

Authors and Affiliations

  • Gilbert J. Perry
  • Navin C. Nanda

There are no affiliations available

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