Tricuspid Incompetence Following Permanent Pacemaker Implantation

Klutstein, Marc; Balkin, Jonathan; Butnaru, Adi; Ilan, Michael; Lahad, Amnon; Rosenmann, David

doi:10.1111/j.1540-8159.2008.02269.x

Cited by 81 publications

(82 citation statements)

References 8 publications

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“…Пер-воначально изучение взрослого населения по-казало, что пожилой возраст (возрастной диапазон 72-75 лет) является фактором риска развития TР [29], однако исследования пациен-тов в более широком возрастном диапазоне (от 2 до 52 лет) не выявили подобной закономерно-сти [30]. Имплантация в полость правого желу-дочка более одного электрода как фактор разви-тия или усугубления имеющейся клапанной не-достаточности также не нашла однозначного подтверждения в литературе.…”

Section: Discussionunclassified

“…рассмотрели данные эхо-кардиографии до и после операции у 410 паци-ентов с исходной ТР не выше II степени, медиа-на наблюдения составила 113 сут. В 18,3% случа-ев выявлена выраженная недостаточность (р < 0,001) [29].…”

Section: Discussionunclassified

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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

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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“…Имплантированный желудочковый электрод может не только вызывать развитие ТР у паци-ента, у которого до этого она выявлена не была, но и усугублять уже существующую ТР в 11-25% случаев [17,18]. Причем подобные изменения функции клапанного аппарата ПЖ в некоторых случаях могут быть определены только через несколько лет после имплантации ААУ [13].…”

Section: имплантация антиаритмических устройств является методом выбоunclassified

“…Chan обратили внимание на значительное количество ограничений в боль-шинстве упомянутых исследований, включая ретроспективный характер, незначительное число пациентов, недостаточное количество предоставленных исходных данных, получен-ных до имплантации ААУ, отсутствие единой системы оценки степени регургитации на ТК и значительные различия во временном интер-вале наблюдения за больными в послеопера-ционном периоде в разных работах [25]. По мне-нию авторов, этим обусловлена противоречи-вость данных, полученных в ходе этих исследований [10,12,16,[17][18][19]21].…”

Section: имплантация антиаритмических устройств является методом выбоunclassified

Tricuspid Valve Regurgitation After Antiarrhythmic Device Implantation

Кропоткин¹,

Ivanitskiy²

2017

Ann aritmol

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Tricuspid Incompetence Following Permanent Pacemaker Implantation

Abstract: Worsening of TI after PPI was not rare and was observed more often in older patients, with abnormal LV relaxation and who developed pulmonary hypertension after the procedure.

Cited by 81 publications

References 8 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

Tricuspid Valve Regurgitation After Antiarrhythmic Device Implantation

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