Perioperative predictors of permanent pacing and long-term dependence following tricuspid valve surgery: a multicentre analysis

Abstract

Cross-clamp time >60 min and concomitant mitral valve surgery were independent predictors of PPM implantation following TVR. Long-term PPM dependency is more prevalent after TVR than other types of valvular surgery.

Predictors of pacing-dependency in patients with cardiovascular implantable electronic devices

“…This is consistent with the findings of most previous studies in patients with and without cardiac surgery prior to pacemaker implant [3,[5][6][7][8][15][16][17]. Several previous investigators also found an association between pacing dependency during follow-up and body mass index [7], age [11], male gender [11], and a history of coronary artery disease [16]. Whereas none of these variables predicted pacing dependency in the present study, a significant association was found between pacing dependency and heart failure severity as indexed by a low LVEF ≤ 30% and an elevated BNP level.…”

“…The results of the present study support the hypothesis that patients with heart failure and high degree AV block at implant will probably be paced more frequently in the ventricle and may therefore benefit from physiological pacing [4]. Although CKD is a generally accepted important comorbidity in patients with heart disease of any etiology with regard to overall survival, the association between CKD and pacing dependency has not been investigated in previous studies [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17]. Multivariate analysis in the current study revealed a twofold risk for pacing dependency in patients with CKD compared to patients without CKD.…”

“…Knowledge of pacing-dependency following implantation of cardiovascular implantable electronic devices (CIEDs) is very important in various clinical settings including elective generator change, potential electromagnetic interference and management of suspected lead or generator malfunction [1,2]. Although several million permanent pacemakers and implantable cardioverter-defibrillators (ICDs) with bradycardia pacing capability have been implanted 60 years after the first pacemaker implantation in 1958, few studies have investigated the prevalence of pacing dependency and clinical predictors for the development of pacing dependency [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17]. Thus, the aim herein was to determine prevalence and predictors of pacing dependency in a well-defined cohort of 802 patients with pacemakers or ICDs at the documented clinic.…”

Comparison of aortic cross-clamping versus beating heart surgery in tricuspid valve repair

“…In particular, TV surgery has been shown to increase the risk of developing bradyarrhythmias requiring PPP postoperatively due to the close proximity of the valve to the AV node. [17][18][19] In recent years, growing evidence has supported early TVr or tricuspid valve replacement (TVR) for medically refractory functional TR associated with severe RV dysfunction. [20,21] Mar et al [19] carried out a study to evaluate the predictors of PPP following TV surgery.…”

“…[17][18][19] In recent years, growing evidence has supported early TVr or tricuspid valve replacement (TVR) for medically refractory functional TR associated with severe RV dysfunction. [20,21] Mar et al [19] carried out a study to evaluate the predictors of PPP following TV surgery. In the aforementioned study, concomitant mitral valve and TV surgery was the most common procedure (42%) with a significantly greater proportion occurring in the PPP group versus the non-PPP group (54% vs. 38%, p= 0.028).…”