Diastolic Valvular Regurgitation in Patient with Complete Atrio-ventricular Block
A. El-Adaoui *
Department of Cardiology, Ibn Rochd University Hospital, Casablanca, Morocco.
A. Asklou
Department of Cardiology, Ibn Rochd University Hospital, Casablanca, Morocco.
A. Errami
Department of Cardiology, Ibn Rochd University Hospital, Casablanca, Morocco.
I. Inouamou
Department of Cardiology, Ibn Rochd University Hospital, Casablanca, Morocco.
S. Arous
Department of Cardiology, Ibn Rochd University Hospital, Casablanca, Morocco.
R. Habbal
Department of Cardiology, Ibn Rochd University Hospital, Casablanca, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Mitral regurgitation in conduction disorders is a rare feature of functional valve regurgitation.
In patients with high-grade atrioventricular block, the onset of ventricular ejection may shift with atrial telesystole; in this case, the rise in left ventricular filling pressure after atrial systole, especially in the case of complete atrioventricular block leading to an inversion of the LA-LV gradient during the supraventricular relaxation phase and diastolic mitral insufficiency can gradually set in , as well as secondary tricuspid regurgitation
Here we report the observation of a patient admitted for a complete atrioventricular block, with reversible mitral and tricuspid regurgitation after implantation of a pace maker.
Keywords: complete atrio-ventiuclar block, diastolic regurgitation, valvular heart disease