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TR risk in HBP warrants vigilance; Level 5 data leave open incidence and mitigation strategies.
The His bundle (HB) is located in the right atrium and right ventricle under the membranous ventricular septum. Recently, His bundle pacing (HBP) has re-emerged as an alternative to ventricular pacing strategy; it has been shown to successfully narrow the surface QRS complex and improve left ventricular dyssynchrony. However, ventricular lead–induced tricuspid regurgitation (TR) can occur as a complication of HBP and is associated with a poor prognosis.
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Hasumi et al. (2018) studied this question.
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