scholarly journals P750 Dynamics of tricuspid regurgitation after right ventricular lead implantation

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
M Haydar ◽  
E Azzam ◽  
N Samniah ◽  
A Sharif-Rasslan ◽  
I Dobrecky Mery ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Tricuspid Regurgitation ◽  
The Other ◽  
Fluoroscopic Guidance ◽  
The Past ◽  
Ventricular Lead ◽  
Before And After ◽  
Leaflet Motion ◽  
Grade 3 ◽  
Lead Positioning

Abstract Placement of ICDs, permanent pacemakers, and biventricular devices is performed under fluoroscopic guidance. Implantable device leads can cause tricuspid regurgitation (TR) when they interfere with leaflet motion. In the past, we had the experience of 2 cases with RV lead who had severe TR; one had lead repositioning and the other needed surgery. Aim: Evaluation of TR after right ventricular (RV) permanent lead implantation to check if echocardiographic guidance is needed for adequate lead positioning. Methods: Seventy six patients had trans-thoracic Doppler echocardiographic studies before and after implantation of permanent RV leads. Results: Before RV lead implantation 96% of patients had TR, grade 1 in 57 patients (75%), grade 2 in 12 (16%), grade 3 and 4 in 4 (5%). After RV lead implantation 44 patients with grade 1 TR remained with the same degree (77%) while in 2 (3.5%) TR progressed to grade 2, and in the remainder the TR disappeared. Most of the patients with grade 2 TR before RV lead implantation (75%) remained in grade 2 while 25% the grade decreased to grade 1. In all the patients with grade 3 and 4 TR pre-implantation, the severity of TR decreased by one grade. In 56 patients with non-CRT device implantations, 39 (70%) had grade I TR before procedure and in 28 (72%) of them TR grade did not change and 11(28%) TR grade progressed to grade 2 after implantation. Grade 2 TR before implantation in 8 patients (14%), the TR grade decreased in3 (37.5%) and did not change in the others. In 3 (5.4%) patients with grade 3 and 4 TR before procedure, the TR decreased after procedure. Conclusions: Implantation of permanent RV leads did not worsen TR grade.

scholarly journals Pacemaker lead-associated tricuspid regurgitation in patients with or without pre-existing right ventricular dilatation

2021 ◽  
Author(s):  
Martin Riesenhuber ◽  
Andreas Spannbauer ◽  
Marianne Gwechenberger ◽  
Thomas Pezawas ◽  
Christoph Schukro ◽  
...  
Keyword(s):  
Mitral Regurgitation ◽  
Right Ventricular ◽  
Tricuspid Regurgitation ◽  
Pacemaker Implantation ◽  
Ventricular Dilatation ◽  
Pacemaker Lead ◽  
Survival Analyses ◽  
Before And After ◽  
Right Ventricular Dilatation ◽  
Survival Predictors

Abstract Background Transcatheter tricuspid valve intervention became an option for pacemaker lead-associated tricuspid regurgitation. This study investigated the progression of tricuspid regurgitation (TR) in patients with or without pre-existing right ventricular dilatation (RVD) undergoing pacemaker implantation. Methods Patients were included if they had implantation of transtricuspid pacemaker lead and completed echocardiography before and after implantation. The cohort was divided in patients with and without RVD (cut-off basal RV diameter ≥ 42 mm). TR was graded in none/mild, moderate, and severe. Worsening of one grade was defined as progression. Survival analyses were plotted for 10 years. Results In total, 990 patients were analyzed (24.5% with RVD). Progression of TR occurred in 46.1% of patients with RVD and in 25.6% of patients without RVD (P < 0.001). Predictors for TR progression were RV dilatation (OR 2.04; 95% CI 1.27–3.29; P = 0.003), pre-existing TR (OR 4.30; 95% CI 2.51–7.38; P < 0.001), female sex (OR 1.68; 95% CI 1.16–2.43; P = 0.006), single RV lead (OR 1.67; 95% CI 1.09–2.56; P = 0.018), mitral regurgitation (OR 2.08; 95% CI 1.42–3.05; P < 0.001), and enlarged left atrium (OR 1.98; 95% CI 1.07–3.67; P = 0.03). Survival-predictors were pacemaker lead-associated TR (HR 1.38; 95% CI 1.04–1.84; P = 0.028), mitral regurgitation (HR 1.34; 95% CI 1.02–1.77; P = 0.034), heart failure (HR 1.75; 95% CI 1.31–2.33; P < 0.001), kidney disease (HR 1.62; 95% CI 1.25–2.11; P < 0.001), and age ≥ 80 years (HR 2.84; 95% CI 2.17–3.71; P < 0.001). Conclusions Patients with RVD receiving pacemaker suffered from increased TR progression, leading to decreased survival. Graphic abstract

HIS BUNDLE PACING TO TREAT TRICUSPID REGURGITATION CREATED BY RIGHT VENTRICULAR LEAD PLACEMENT

2019 ◽  
Vol 73 (9) ◽  
pp. 2449
Author(s):  
Thomas Flautt ◽  
Alison Spangler ◽  
Sandra Charlton ◽  
John Prather ◽  
Frank McGrew
Keyword(s):  
Right Ventricular ◽  
Tricuspid Regurgitation ◽  
His Bundle ◽  
His Bundle Pacing ◽  
Lead Placement ◽  
Ventricular Lead

scholarly journals A stepwise electrocardiographic algorithm for differentiation of mid-septal vs. apical right ventricular lead positioning: the SPICE ECG substudy

EP Europace ◽  
2015 ◽  
Vol 17 (6) ◽  
pp. 915-920 ◽  
Author(s):  
G. Andrikopoulos ◽  
S. Tzeis ◽  
S. Asbach ◽  
V. Semmler ◽  
C. Lennerz ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Ventricular Lead ◽  
Lead Positioning

scholarly journals EFFECT OF RIGHT VENTRICULAR LEAD PACING LEAD LOCATION ON THE DEVELOPMENT OF TRICUSPID REGURGITATION

2014 ◽  
Vol 63 (12) ◽  
pp. A383
Author(s):  
Anil H. Punjabi ◽  
George Thomas ◽  
Jim Cheung ◽  
Christopher Liu ◽  
Bruce Lerman ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Tricuspid Regurgitation ◽  
Ventricular Lead ◽  
Pacing Lead ◽  
Lead Location

scholarly journals Time Course and Predictors of Worsening Tricuspid Regurgitation Following Right Ventricular Lead Implantation

2020 ◽  
Vol 13 (11) ◽  
Author(s):  
Timothy M. Markman ◽  
Ling Kuo ◽  
Evan Mustin ◽  
Nigel A. Amankwah ◽  
Gregory E. Supple ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Tricuspid Regurgitation ◽  
Time Course ◽  
Ventricular Lead

Past and Present: Surveying Medieval India Amidst the Present Perceptions of the Past in Popular Medium

2020 ◽  
Vol 14 (1-2) ◽  
pp. 39-56
Author(s):  
Samana Zafar ◽  
Khanday Pervaiz Ahmad
Keyword(s):  
Common Sense ◽  
The Other ◽  
Historical Background ◽  
Historical Sources ◽  
Indian History ◽  
Indian Cinema ◽  
The Past ◽  
Popular Medium ◽  
Before And After ◽  
Medieval India

In today’s Indian cinema, there is a deluge of films based on historical background. One of the central themes of many of these movies is the description and the representation of the ‘other’. Padmavat is the quintessential example and sums up all the ideas served in movies of this genre which were released before and after it. Padmini, Ratan Sen, Alauddin Khalji as depicted in the movie are the tropes through which the idea about a particular period of Indian history is creatively visualised and presented. It also forms the perception of the past at the popular level and helps in the development of common consciousness and majoritarian common sense. In the light of this kind of cinema, this article tries to survey medieval India based on the reading of the historical sources to understand the nature of various kinds of binary and otherness through the multifarious representations of the other.

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