Tricuspid Valve Dysfunction Following Pacemaker or Cardioverter-Defibrillator Implantation

Abstract The potential for cardiac implantable electronic device leads to interfere with tricuspid valve (TV) function has gained increasing recognition as having hemodynamic and clinical consequences associated with incremental morbidity and death. The diagnosis and treatment of lead-related (as di...

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Veröffentlicht in:Journal of the American College of Cardiology 2017-05, Vol.69 (18), p.2331-2341
Hauptverfasser: Chang, James D., MD, Manning, Warren J., MD, Ebrille, Elisa, MD, Zimetbaum, Peter J., MD
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container_end_page 2341
container_issue 18
container_start_page 2331
container_title Journal of the American College of Cardiology
container_volume 69
creator Chang, James D., MD
Manning, Warren J., MD
Ebrille, Elisa, MD
Zimetbaum, Peter J., MD
description Abstract The potential for cardiac implantable electronic device leads to interfere with tricuspid valve (TV) function has gained increasing recognition as having hemodynamic and clinical consequences associated with incremental morbidity and death. The diagnosis and treatment of lead-related (as distinct from functional) tricuspid regurgitation pose unique challenges. Because of pitfalls in routine diagnostic imaging, a high level of clinical suspicion must be maintained to avoid overlooking the possibility that worsening heart failure is a consequence of mechanical interference with TV leaflet mobility or coaptation and is amenable to lead extraction or valve repair or replacement. The future of cardiac implantable electronic devices includes pacing and perhaps defibrillation without a lead traversing the TV.
doi_str_mv 10.1016/j.jacc.2017.02.055
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The diagnosis and treatment of lead-related (as distinct from functional) tricuspid regurgitation pose unique challenges. Because of pitfalls in routine diagnostic imaging, a high level of clinical suspicion must be maintained to avoid overlooking the possibility that worsening heart failure is a consequence of mechanical interference with TV leaflet mobility or coaptation and is amenable to lead extraction or valve repair or replacement. 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The diagnosis and treatment of lead-related (as distinct from functional) tricuspid regurgitation pose unique challenges. Because of pitfalls in routine diagnostic imaging, a high level of clinical suspicion must be maintained to avoid overlooking the possibility that worsening heart failure is a consequence of mechanical interference with TV leaflet mobility or coaptation and is amenable to lead extraction or valve repair or replacement. 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subjects Cardiology
Cardiovascular
Cardiovascular disease
Cardiovascular diseases
Congenital diseases
Defibrillators
Defibrillators, Implantable - adverse effects
Device Removal
Diagnostic systems
echocardiography
Electronic devices
Electronic equipment
Heart
Heart diseases
Heart failure
Humans
implantable defibrillators
Implantation
Internal Medicine
Morbidity
Mortality
Patients
Postoperative Complications - etiology
Regurgitation
transvenous lead extraction
Tricuspid valve
Tricuspid Valve - anatomy & histology
Tricuspid Valve - physiology
tricuspid valve insufficiency
Tricuspid Valve Insufficiency - etiology
Tricuspid Valve Insufficiency - surgery
title Tricuspid Valve Dysfunction Following Pacemaker or Cardioverter-Defibrillator Implantation
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