Key result
Coronary sinus single-site pacing in patients with tricuspid valve disease showed similar lead revision or abandonment rates to right ventricular pacing (HR 0.87; 95% CI 0.03-22.0).
Why the study?
Does coronary sinus single-site left ventricular pacing provide stable lead parameters and preserve LVEF compared to conventional right ventricular pacing in patients with tricuspid valve disease?
Population
Adult patients with normal left ventricular ejection fraction and tricuspid valve surgery/disease where…
Comparison
Coronary sinus single-site left ventricular… vs Matched control populations receiving either…
Design
Cohort
Follow-up
5.3 ± 2.8 years
Authors
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Coronary sinus pacing may support stable leads in tricuspid valve disease; leaves open randomized confirmation versus right ventricular pacing.
Cohort (n=23)
Does coronary sinus single-site left ventricular pacing provide stable lead parameters and preserve LVEF compared to conventional right ventricular pacing in patients with tricuspid valve disease?
Effect estimate: HR 0.87 (95% CI 0.03-22.0)
Single-site ventricular pacing via the coronary sinus is a feasible, safe, and reliable alternative to right ventricular pacing in patients with normal LVEF and tricuspid valve disease.
Noheria et al. (2017) conducted a cohort in Tricuspid valve disease with normal LVEF (n=23). Coronary sinus single-site (CSSS) left ventricular pacing vs. Conventional right ventricular single-site (RVSS) leads and coronary sinus leads for cardiac resynchronization therapy (CSCRT) was evaluated on Lead revision/abandonment (HR 0.87, 95% CI 0.03-22.0). Coronary sinus single-site pacing in patients with tricuspid valve disease showed similar lead revision or abandonment rates to right ventricular pacing (HR 0.87; 95% CI 0.03-22.0).
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