Abstract
We report a case of systolic and diastolic musical murmurs that developed 4 years after DDD pacemaker implantation. Echocardiographic examination disclosed no evidence of serious pacemaker-related complications. Pulsed Doppler examination with a sample volume at the right ventricular portion of a pacemaker lead showed prominent harmonic signals. The timing of the signals was consistent with that of musical murmurs. We considered vibration of the pacemaker lead as a possible origin of the musical murmurs. Systolic and diastolic musical murmurs can develop without serious cause in a patient with a transvenous pacemaker. Pulsed Doppler examination was useful in detecting the origin of musical murmurs.
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Konda, T., Tanabe, K., Yagi, T. et al. Pulsed Doppler echocardiographic detection of the origin of musical murmurs in a case of pacemaker implantation. J Med Ultrasonics 30, 199–203 (2003). https://doi.org/10.1007/BF02481226
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DOI: https://doi.org/10.1007/BF02481226