July 1, 2015Global Cardiology Science and PracticeOpen Access

Prospective study of tricuspid valve regurgitation associated with permanent leads in patients undergoing cardiac rhythm device implantation: Background, rationale, and design

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Why the study?

Does permanent cardiac rhythm device implantation increase the prevalence of moderate or severe tricuspid regurgitation in patients requiring device therapy?

Population

300 consecutive patients ≥18 years of age referred with a clinical indication for device implantation…

Comparison

Permanent cardiac rhythm device implantation… vs Pre-device insertion baseline

Design

Cohort, Centralized echocardiographic analysis by 2 experienced…

Follow-up

1 year

Authors

HDHisham DokainishGeneral Cardiology EEEsam ElbarasiSt. Michael's Hospital SMSimona MasieroUniversity of Milan

Discussion

Member takes

Implication

This prospective study design outlines the methodology to determine the true incidence, mechanisms, and clinical impact of tricuspid regurgitation following permanent cardiac device implantation.

Structured PICO

Does permanent cardiac rhythm device implantation increase the prevalence of moderate or severe tricuspid regurgitation in patients requiring device therapy?

Population

300 consecutive patients ≥18 years of age referred with a clinical indication for device implantation (PPM, ICD, or BiV). Exclusions: previous endocardial leads, congenital heart disease. Mean age 70, 38% female, multinational (Canada, Italy, Belgium).

Intervention

Permanent cardiac rhythm device implantation (PPM, ICD, or BiV) with endocardial leads across the tricuspid valve

Comparator

Pre-device insertion baseline (echocardiography ≤30 days prior to implantation)

Outcome

Absolute difference in prevalence of moderate or severe tricuspid regurgitation post-device compared to pre-device insertion, as measured by echocardiography at 1 yearsurrogate

This prospective study design outlines the methodology to determine the true incidence, mechanisms, and clinical impact of tricuspid regurgitation following permanent cardiac device implantation.

Cite This Study

Dokainish et al. (2015) studied this question.

synapsesocial.com/papers/6a7cc7be263fc0f117fabbc4 https://doi.org/10.5339/gcsp.2015.41

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Implication

This prospective study design outlines the methodology to determine the true incidence, mechanisms, and clinical impact of tricuspid regurgitation following permanent cardiac device implantation.

Prospective study of tricuspid valve regurgitation associated with permanent leads in patients undergoing cardiac rhythm device implantation: Background, rationale, and design

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Prospective study of tricuspid valve regurgitation associated with permanent leads in patients undergoing cardiac rhythm device implantation: Background, rationale, and design

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider