Echocardiographic assessment of tricuspid regurgitation during ventricular demand pacing

Morgan, Dennis E.; Norman, Rosemary; West, Roxroy O.; Burggraf, Gary W.

doi:10.1016/s0002-9149(86)80032-7

Cited by 32 publications

(21 citation statements)

References 18 publications

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“…Morgan and colleagues assessed the incidence of TR 6 months after PPM implantation in 20 patients who had undergone saline‐contrast echocardiography. By assessing inferior vena cava contrast reflux during systole as a marker for TR, they found no significant occurrence of TR after device implantation . Two major limitations of their study were the lack of comparison with preimplantation echocardiograms, and the use of a nonstandardized method to detect the presence of TR…”

Section: Introductionmentioning

confidence: 99%

Tricuspid Regurgitation in Patients With Pacemakers and Implantable Cardiac Defibrillators: A Comprehensive Review

Al-Bawardy

Krishnaswamy

Bhargava

et al. 2013

Clinical Cardiology

112

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Implantable cardiac devices, including defibrillators and pacemakers, may be the cause of tricuspid regurgitation (TR) or may worsen existing TR. This review of the literature suggests that TR usually occurs over time after lead implantation. Diagnosis by clinical exam and 2‐dimensional echocardiography may be augmented by 3‐dimensional echocardiography and/or computed tomography. The mechanism may be mechanical perforation or laceration of leaflets, scarring and restriction of leaflets, or asynchronized activation of the right ventricle. Pacemaker‐related TR might cause severe right‐sided heart failure, but data regarding associated mortality are lacking. This comprehensive review summarizes the data regarding incidence, mechanism, and treatment of lead‐related TR.

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Section: Introductionmentioning

confidence: 99%

Tricuspid Regurgitation in Patients With Pacemakers and Implantable Cardiac Defibrillators: A Comprehensive Review

Al-Bawardy

Krishnaswamy

Bhargava

et al. 2013

Clinical Cardiology

112

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“…[9][10][11][12] Data on patients with transvenous pacemaker leads are controversial. 5,[13][14][15][16][17] In their retrospective case control study, Paniagua, et al noted an increased prevalance (52.9%) of moderate to severe TR in patients with transvenous pacemakers as compared to age-and sex-matched controls. 15) On the contrary, Leibowitz, et al showed in a prospective study that the permanent right-sided electrodes were not associated with an acute increase in tricuspid regurgitation.…”

Section: Discussionmentioning

confidence: 99%

“…Theoretically, tricuspid regurgitation (TR) is another potential complication of permanent electrode implantation. 5) Existing data on the influence of ventricular leads on TR is controversial and the effect of retained leads on right ventricular (RV) and tricuspid valve function has not been extensively investigated. In this echocardiographic study, we investigated the long-term effect of the number of ventricular leads on RV and tricuspid valve function in patients with permanent pacemakers.…”

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confidence: 99%

Right Ventricular and Tricuspid Valve Function in Patients With Two Ventricular Pacemaker Leads

et al. 2004

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SUMMARYExisting data on the effect of retained pacemaker leads on right ventricular (RV) and tricuspid valve function is limited.Objective: In this echocardiographic study we investigated the long-term effect of retained ventricular leads on RV and tricuspid valve function in patients with permanent pacemakers.Forty patients, 18 with two (group I) and 22 with one (group II) ventricular lead were assessed echocardiographically at an average of 39 months after the second lead implantation in group I and 80 months after the lead implantation in group II.The sum of the lead body diameter in group I was significantly greater than the body diameter in group II (P < 0.000). There was no significant difference between the groups with respect to chamber diameters and ventricular or valvular functions. The distributions of the different tricuspid regurgitation (TR) grades were similar, with the majority of patients in both groups having mild TR.Retained second pacemaker leads do not have an additional negative effect on right ventricular and tricuspid valve function. (Jpn Heart J 2004; 45: 103-108) Key words: Permanent pacemaker, Tricuspid regurgitation, Echocardiography, Retained leads LEAD dysfunction is one of the major problems/complications of permanent pacemaker therapy. Dysfunction due to mechanical or infective problems or electrical failure leads to replacement. Although lead extraction is done effectively and safely using the new extraction devices in many centers, there still exists a serious complication risk if it is done by inexperienced operators.1,2) Some of the functionless leads can not be removed safely and are left in situ if an absolute indication for extraction does not exist. It has been shown that the retained functionless pacemaker leads in the cardiovascular system are well tolerated unless they are infected and carry a very low complication rate. 3,4) Other possible comFrom the

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“…Схожие выводы были сдела-ны на основании данных, полученных в иссле-довании D.E. Morgan et al при анализе ТР у 20 больных через 6 мес после имплантации ААУ, где также не было выявлено значимого измене-ния функции ТК [20]. Неожиданные результаты были получены D.W. Leibowitz et al при оцен-ке функции ТК в раннем послеоперационном периоде после имплантации ААУ [21].…”

Section: имплантация антиаритмических устройств является методом выбоunclassified

Tricuspid Valve Regurgitation After Antiarrhythmic Device Implantation

Кропоткин¹,

Ivanitskiy²

2017

Ann aritmol

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Echocardiographic assessment of tricuspid regurgitation during ventricular demand pacing

Cited by 32 publications

References 18 publications

Tricuspid Regurgitation in Patients With Pacemakers and Implantable Cardiac Defibrillators: A Comprehensive Review

Tricuspid Regurgitation in Patients With Pacemakers and Implantable Cardiac Defibrillators: A Comprehensive Review

Right Ventricular and Tricuspid Valve Function in Patients With Two Ventricular Pacemaker Leads

Tricuspid Valve Regurgitation After Antiarrhythmic Device Implantation

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