January 1, 2014Korean Journal of MedicineOpen Access

Predictors of the Development of Significant Tricuspid Regurgitation after Permanent Pacemaker Implantation

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Why the study?

Does VVI type pacemaker implantation increase significant tricuspid regurgitation in patients requiring permanent pacemakers?

Population

187 Korean patients who underwent successful permanent pacemaker implantation and had both baseline and…

Design

Cohort

Follow-up

3.1 ± 1.8 years

Authors

KLKyoung Jin LeeYonsei University KKKye Hun KimChonnam National University YYYi Rang YimChonnam National University Hospital

Discussion

Member takes

Implication

AF and VVI pacing predict post-implant tricuspid regurgitation; hypothesis-generating and should not yet change device selection.

Structured PICO

Does VVI type pacemaker implantation increase significant tricuspid regurgitation in patients requiring permanent pacemakers?

Population

187 Korean patients who underwent successful permanent pacemaker (PPM) implantation and had both baseline and follow-up echocardiographic examinations. Group I (no development or change in tricuspid regurgitation, n=172, mean age 65.5), Group II (development of significant tricuspid regurgitation, n=15, mean age 72.1).

Intervention

Permanent pacemaker (PPM) implantation (including VVI type and non-VVI type pacemakers)

Outcome

Development of significant tricuspid regurgitation (TR), defined as aggravation of TR grade by 2 or more during follow-upsurrogate

In patients undergoing permanent pacemaker implantation, the presence of baseline atrial fibrillation and the use of a VVI-type pacemaker are independent predictors for the development of significant tricuspid regurgitation.

Limitations

Retrospective design
Selection bias due to exclusion of patients without echocardiographic follow-up
Potential underestimation of significant tricuspid regurgitation
Lack of right atrial and right ventricular size change analysis
Short follow-up duration

Cite This Study

Lee et al. (2014) studied this question.

synapsesocial.com/papers/6a7370907af34f94aaa7294f https://doi.org/10.3904/kjm.2014.86.5.577

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Predictors of the Development of Significant Tricuspid Regurgitation after Permanent Pacemaker Implantation

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Predictors of the Development of Significant Tricuspid Regurgitation after Permanent Pacemaker Implantation

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider