Tricuspid regurgitation following implantation of a pacemaker/cardioverter- defibrillator

Maha A. Al-Mohaissen, Kwan Leung Chan

Research output: Contribution to journalArticleResearchpeer-review

7 Citations (Scopus)

Abstract

Tricuspid regurgitation due to permanent pacemaker/ defibrillator lead implantation (LITR) has been described more than 3 decades ago, but has come into attention recently due to the dramatic increase in the use of these devices. This entity has not been well defined and its impact on the patient and the health care system is largely unknown. This complication can have important implications. First, the presence and severity of tricuspid regurgitation in general is associated with reduced patient survival, and in the severe cases may require corrective surgery. Second, with the increasing age of the population and the expanding indications of these devices, one expects to encounter many more cases of LITR in the future. Third, this is an iatrogenic complication and therefore potentially preventable. This review discusses the prevalence, mechanisms, and risk factors of LITR as well as the management and potential strategies to prevent its occurrence.

Original languageEnglish
Article number357
JournalCurrent Cardiology Reports
Volume15
Issue number5
DOIs
Publication statusPublished - 1 May 2013

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Tricuspid Valve Insufficiency
Defibrillators
Equipment and Supplies
Patient Care
Delivery of Health Care
Survival
Population
Lead

Keywords

  • 3D Echocardiography
  • Cardioverter-defibrillator
  • Endocardial lead
  • Pacemaker
  • Tricuspid regurgitation

Cite this

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abstract = "Tricuspid regurgitation due to permanent pacemaker/ defibrillator lead implantation (LITR) has been described more than 3 decades ago, but has come into attention recently due to the dramatic increase in the use of these devices. This entity has not been well defined and its impact on the patient and the health care system is largely unknown. This complication can have important implications. First, the presence and severity of tricuspid regurgitation in general is associated with reduced patient survival, and in the severe cases may require corrective surgery. Second, with the increasing age of the population and the expanding indications of these devices, one expects to encounter many more cases of LITR in the future. Third, this is an iatrogenic complication and therefore potentially preventable. This review discusses the prevalence, mechanisms, and risk factors of LITR as well as the management and potential strategies to prevent its occurrence.",
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Tricuspid regurgitation following implantation of a pacemaker/cardioverter- defibrillator. / Al-Mohaissen, Maha A.; Chan, Kwan Leung.

In: Current Cardiology Reports, Vol. 15, No. 5, 357, 01.05.2013.

Research output: Contribution to journalArticleResearchpeer-review

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AU - Al-Mohaissen, Maha A.

AU - Chan, Kwan Leung

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N2 - Tricuspid regurgitation due to permanent pacemaker/ defibrillator lead implantation (LITR) has been described more than 3 decades ago, but has come into attention recently due to the dramatic increase in the use of these devices. This entity has not been well defined and its impact on the patient and the health care system is largely unknown. This complication can have important implications. First, the presence and severity of tricuspid regurgitation in general is associated with reduced patient survival, and in the severe cases may require corrective surgery. Second, with the increasing age of the population and the expanding indications of these devices, one expects to encounter many more cases of LITR in the future. Third, this is an iatrogenic complication and therefore potentially preventable. This review discusses the prevalence, mechanisms, and risk factors of LITR as well as the management and potential strategies to prevent its occurrence.

AB - Tricuspid regurgitation due to permanent pacemaker/ defibrillator lead implantation (LITR) has been described more than 3 decades ago, but has come into attention recently due to the dramatic increase in the use of these devices. This entity has not been well defined and its impact on the patient and the health care system is largely unknown. This complication can have important implications. First, the presence and severity of tricuspid regurgitation in general is associated with reduced patient survival, and in the severe cases may require corrective surgery. Second, with the increasing age of the population and the expanding indications of these devices, one expects to encounter many more cases of LITR in the future. Third, this is an iatrogenic complication and therefore potentially preventable. This review discusses the prevalence, mechanisms, and risk factors of LITR as well as the management and potential strategies to prevent its occurrence.

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