Cardiac implantable electronic device leads can cause mechanical interference with tricuspid valve function, leading to worsening heart failure that requires high clinical suspicion to diagnose.
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.
Chang et al. (Mon,) conducted a review in Tricuspid valve dysfunction following pacemaker or cardioverter-defibrillator implantation. Cardiac implantable electronic device leads was evaluated. Cardiac implantable electronic device leads can cause mechanical interference with tricuspid valve function, leading to worsening heart failure that requires high clinical suspicion to diagnose.
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