J Interv Card Electrophysiol (2017) 49:281–287 DOI 10.1007/s10840-017-0266-2 Pacemaker-induced tricuspid regurgitation is uncommon immediately post-implantation 1 1,2 1,2 1,2 Daniel P. Rothschild & James A Goldstein & Nathan Kerner & Amr E. Abbas & 1 1,2 Meet Patel & Wai Shun Wong Received: 12 May 2017 /Accepted: 18 June 2017 /Published online: 6 July 2017 Springer Science+Business Media, LLC 2017 Abstract and, when it occurs, causes no greater than mild TR. RV Background Prior studies report permanent pacemaker pacing and lead mobility do not correlate with worsening of (PPM)-induced tricuspid regurgitation (TR) in up to one third TR. 3D TTE is highly reliable at identifying lead position. of cases late post-implantation. We sought to assess the extent . . of immediate PPM-induced TR. Keywords Pacemaker Tricuspid regurgitation Methods Forty patients undergoing PPM implant were pro- Post-implantation spectively enrolled. Patients with pre-existing moderate or severe TR or an RVSP >50 mmHg were excluded. Pre- and immediate post-implantation transthoracic echocardiography 1 Introduction (TTE) analyzed TR grade according to established methods. 3D TTE was utilized to determine lead position in relation to Cardiac implantable electronic device (CIED) lead-induced tricuspid leaflets as well as lead mobility across the TV. tricuspid regurgitation (TR) occurs
Journal of Interventional Cardiac Electrophysiology – Springer Journals
Published: Jul 6, 2017
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