Right ventricular pacing increases tricuspid regurgitation grade regardless of the mechanical interference to the valve by the electrode

Vaturi, Mordehay; Kusniec, Jairo; Shapira, Yaron; Nevzorov, R.; Yedidya, Idit; Weisenberg, Daniel; Monakier, Daniel; Strasberg, Boris; Sagie, Alexander

doi:10.1093/ejechocard/jeq018

Cited by 94 publications

(61 citation statements)

References 13 publications

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“…Однако невозможно обсуждать данную проблему, пер-воначально не рассмотрев возможные механиз-мы (см. рисунок) и предикторы ее возникнове-ния [6,[23][24][25][26].…”

Section: Discussionunclassified

“…В 44% случа-ев (n = 18) определялась лишь легкая степень, недостаточность клапана больших градаций не выявлена. Однако даже выраженная ТР может быть пропущена из-за акустических теней от электродов или неоптимальной визуализации струи регургитации, что является определенным ограничением в диагностике [6].…”

Section: Discussionunclassified

“…Извест-но, что подобные устройства могут явиться при-чиной развития или прогрессирования трикус-пидальной регургитации (ТР) по различным причинам, одной из которых принято считать наличие в правых камерах сердца трансклапан-ного инородного тела -правожелудочкового электрода. Незначительная ТР является относи-тельно распространенным и известным послед-ствием имплантации ЭКС [5][6][7]. В то же время развитие у пациента выраженной недостаточно-сти представляет серьезную проблему.…”

Section: Introductionunclassified

“…Стоит отметить, что в современной литературе до сих пор не существует единого мнения относи-тельно причин формирования ТР [1,6,9]. Также остаются до конца не ясными частота встречаемо-сти и основные механизмы развития недостаточ-ности ТК после имплантации ЭКС [9,17].…”

Section: Introductionunclassified

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Right ventricular pacemaker lead as an independent risk factor in the development of tricuspid regurgitation in the early postoperative period? Single-center prospective study

Glumskov¹,

Дурманов²,

Bazilev³

2017

Ann aritmol

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Section: Discussionunclassified

Section: Introductionunclassified

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Right ventricular pacemaker lead as an independent risk factor in the development of tricuspid regurgitation in the early postoperative period? Single-center prospective study

Glumskov¹,

Дурманов²,

Bazilev³

2017

Ann aritmol

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“…14,15) In addition, several studies have demonstrated that a right ventricular (RV) lead induced tricuspid regurgitation (TR). [16][17][18][19] The mechanisms whereby a RV lead induces TR are not fully elucidated. Although some investigators have attributed TR to active RV pacing causing valve malfunction through RV mechanical dyssynchrony, 16) most have suggested mechanical interference of the lead with the valve leaflets leading to incomplete valve closure.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Catheter Ablation for Atrial Fibrillation in Patients With a Permanent Pacemaker for Atrioventricular Block

Dong

Wang

et al. 2014

Int. Heart J.

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SummaryCatheter ablation has been established to be an effective therapy for drug-refractory paroxysmal AF and is recommended as the treatment of choice for many patients, including those with a permanent pacemaker (PM). However, the clinical efficacy of catheter ablation of paroxysmal AF in patients with a permanent PM for atrioventricular block (AVB) is not clear. Twenty-nine patients with a permanent PM for AVB (AVB + PM group), and 145 age-and gender-matched control patients (on a 1:5 basis) without AVB and without a permanent PM (no-AVB + no-PM group), were included in this study. Atrial fibrillation (AF) recurrence was defined as the occurrence of confirmed atrial tachyarrhythmia lasting more than 30 seconds beyond 3 months after catheter ablation in the absence of any antiarrhythmic treatment. During a mean follow-up period of 14.2 ± 8.6 months (range, 3-30 months), 54 patients (31.0%) developed recurrence of AF. The recurrence rate was higher in the AVB + PM group than in the no-AVB + no-PM group (48.3% versus 27.6%, P = 0.005). Cox regression analysis with adjustment for age, valvular heart disease, AVB and a PM together, left atrial (LA) diameter and PV isolation identified LA diameter (hazard ratio 1.054, 95% confidence interval 1.001-1.110, P = 0.047) and AVB and a PM together (hazard ratio 2.095, 95% confidence interval 1.109-3.960, P = 0.023) as two independent predictors of recurrence of AF. Patients with a permanent PM for AVB were at an increased risk of recurrence of AF after catheter ablation. (Int Heart J 2014; 55: 489-493) Key words: Recurrence A trial fibrillation (AF) is a common cardiac arrhythmia in the general population 1) and is associated with increased cardiovascular morbidity and mortality.2,3) A recent study showed that AF is the most frequent tachyarrhythmia in patients with a permanent pacemaker (PM), occurring in up to 37% of patients implanted due to atrioventricular block (AVB).4) Catheter ablation has been established to be an effective therapy for drug-refractory paroxysmal AF and is recommended as the treatment of choice for many patients, including those with a permanent PM. However, there is still a risk of recurrence after ablation. Our previous study evaluated the clinical efficacy of catheter ablation of paroxysmal AF in patients with a permanent PM for sick sinus syndrome (SSS) and showed that SSS and the use of a pacemaker together was an independent predictor of recurrence of AF. 5) SSS is primarily a disease of the elderly and is presumed to be due to senescence of the sinus node and atrial muscle. 6) Thus, SSS likely reflects an underlying atrial disease, which may be associated with an increased rate of recurrence of AF. In AVB patients with a permanent PM, although AVB may contribute little to the development of AF recurrence, the cumulative percentages of ventricular pacing may be higher in AVB patients than in SSS patients. Whether these patients also have an increased risk of recurrence of AF after catheter ablation is not clear. This retrospective study ...

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Implant‐Related Complications: Relevant Anatomy and an Approach for Prevention

Sheldon

Hayes

Friedman

et al. 2012

Cardiac Pacing, Defibrillation and Resynchronization

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Right ventricular pacing increases tricuspid regurgitation grade regardless of the mechanical interference to the valve by the electrode

Abstract: Active RV pacing is associated with a significant increase in TR grade. This effect is not induced by acute changes in the RV area and is unrelated to an interference with leaflet closure by the electrode.

Cited by 94 publications

References 13 publications

Right ventricular pacemaker lead as an independent risk factor in the development of tricuspid regurgitation in the early postoperative period? Single-center prospective study

Right ventricular pacemaker lead as an independent risk factor in the development of tricuspid regurgitation in the early postoperative period? Single-center prospective study

Efficacy of Catheter Ablation for Atrial Fibrillation in Patients With a Permanent Pacemaker for Atrioventricular Block

Implant‐Related Complications: Relevant Anatomy and an Approach for Prevention

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