101. Prevalence, predictors, and prognosis of tricuspid regurgitation following permanent pacemaker implantation
- Author
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Chi Young Shim, Dae-Young Kim, Jong-Won Ha, Jiwon Seo, Iksung Cho, and Geu Ru Hong
- Subjects
Male ,Pacemaker, Artificial ,Medical Implants ,Cardiovascular Procedures ,Vascular Surgery ,030204 cardiovascular system & hematology ,Single Center ,Vascular Medicine ,Diagnostic Radiology ,0302 clinical medicine ,Atrial Fibrillation ,Ultrasound Imaging ,Medicine and Health Sciences ,Prevalence ,Coronary Heart Disease ,030212 general & internal medicine ,Multidisciplinary ,Tricuspid valve ,Ejection fraction ,Radiology and Imaging ,Hazard ratio ,Atrial fibrillation ,Prognosis ,Tricuspid Valve Insufficiency ,medicine.anatomical_structure ,Echocardiography ,Cardiology ,Medicine ,Engineering and Technology ,Female ,Arrhythmia ,Research Article ,Biotechnology ,medicine.medical_specialty ,Imaging Techniques ,Science ,Bioengineering ,Surgical and Invasive Medical Procedures ,Research and Analysis Methods ,03 medical and health sciences ,Diagnostic Medicine ,Internal medicine ,medicine ,Humans ,Aged ,Retrospective Studies ,business.industry ,Biology and Life Sciences ,Vascular surgery ,medicine.disease ,Confidence interval ,Heart failure ,Medical Devices and Equipment ,Cardiac Pacing ,business ,Ejection Fraction - Abstract
This study aimed to investigate the prevalence and clinical significance of lead-related tricuspid regurgitation (TR) in patients with permanent pacemaker (PM). A total of 2,533 patients who underwent permanent PM implantation between January 2008 and December 2017 in a single center were retrospectively reviewed. Among them, 429 patients who underwent transthoracic echocardiography within 90 days before implantation and were followed up at least 3 months after PM implantation were included. Patients who had pre-existing grade 3 or 4 TR, had a single atrial lead, or had undergone tricuspid valve surgery before PM implantation were excluded. Occurrence of PM-related TR (PMTR) was defined as worsening of TR by at least 2 grades on follow-up echocardiography. Cardiovascular outcomes were defined as the composite of cardiovascular death and hospitalization for heart failure. During the median follow-up of 855 days, 42 (9.8%) patients had PMTR and 86 (20.0%) presented with cardiovascular outcomes. In the multivariate logistic regression analysis, the presence of atrial fibrillation (hazard ratio [HR]: 2.07, 95% confidence interval [CI]: 1.27-4.09, p = 0.037]) and history of open-heart surgery (HR: 3.34, 95% CI: 1.68-6.68, p
- Published
- 2020