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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Bibliographic Details
Published in:Journal of the American College of Cardiology 2017-05, Vol.69 (18), p.2331-2341
Main Authors: Chang, James D., MD, Manning, Warren J., MD, Ebrille, Elisa, MD, Zimetbaum, Peter J., MD
Format: Article
Language:English
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
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Summary: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.
ISSN:0735-1097
1558-3597
DOI:10.1016/j.jacc.2017.02.055