Tricuspid Regurgitation in the Setting of Cardiac Implantable Electronic Devices

Cardiac implantable electronic devices (CIEDs) have been increasingly used in the management of various rhythm disorders amidst an aging population with more prevalent cardiovascular comorbidities. Although generally well-tolerated and safe, implantation of CIEDs may result in or worsen tricuspid re...

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Main Authors: Omar M. Aldaas, MD, Gary Ma, MD, Quan Bui, MD, Ryan R. Reeves, MD, Ulrika Birgersdotter-Green, MD
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Structural Heart
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Online Access:http://www.sciencedirect.com/science/article/pii/S2474870624000678
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author Omar M. Aldaas, MD
Gary Ma, MD
Quan Bui, MD
Ryan R. Reeves, MD
Ulrika Birgersdotter-Green, MD
author_facet Omar M. Aldaas, MD
Gary Ma, MD
Quan Bui, MD
Ryan R. Reeves, MD
Ulrika Birgersdotter-Green, MD
author_sort Omar M. Aldaas, MD
collection DOAJ
description Cardiac implantable electronic devices (CIEDs) have been increasingly used in the management of various rhythm disorders amidst an aging population with more prevalent cardiovascular comorbidities. Although generally well-tolerated and safe, implantation of CIEDs may result in or worsen tricuspid regurgitation (TR), which is associated with a higher risk of morbidity and mortality. Several mechanisms of TR following device implantation have been proposed, and multiple diagnostic tests, percutaneous and surgical interventions, and alternative pacing methods have been developed to address this. CIED-related TR thus requires a multidisciplinary team of experts in cardiac imaging, interventional cardiology, electrophysiology, and cardiothoracic surgery with a comprehensive understanding of this multifaceted disease. The objective of this review is to summarize the epidemiology, clinical presentation, and management of CIED-related TR.
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publishDate 2025-01-01
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series Structural Heart
spelling doaj-art-aab3b8cf379848cdaea0d4e7d45cff7f2025-02-10T04:34:39ZengElsevierStructural Heart2474-87062025-01-0191100319Tricuspid Regurgitation in the Setting of Cardiac Implantable Electronic DevicesOmar M. Aldaas, MD0Gary Ma, MD1Quan Bui, MD2Ryan R. Reeves, MD3Ulrika Birgersdotter-Green, MD4Division of Cardiology, University of California San Diego, La Jolla, CaliforniaDivision of Cardiology, University of California San Diego, La Jolla, CaliforniaDivision of Cardiology, University of California San Diego, La Jolla, CaliforniaDivision of Cardiology, University of California San Diego, La Jolla, CaliforniaAddress correspondence to: Ulrika Birgersdotter-Green, MD, University of California San Diego, 9434 Medical Center Dr, La Jolla, CA 92037.; Division of Cardiology, University of California San Diego, La Jolla, CaliforniaCardiac implantable electronic devices (CIEDs) have been increasingly used in the management of various rhythm disorders amidst an aging population with more prevalent cardiovascular comorbidities. Although generally well-tolerated and safe, implantation of CIEDs may result in or worsen tricuspid regurgitation (TR), which is associated with a higher risk of morbidity and mortality. Several mechanisms of TR following device implantation have been proposed, and multiple diagnostic tests, percutaneous and surgical interventions, and alternative pacing methods have been developed to address this. CIED-related TR thus requires a multidisciplinary team of experts in cardiac imaging, interventional cardiology, electrophysiology, and cardiothoracic surgery with a comprehensive understanding of this multifaceted disease. The objective of this review is to summarize the epidemiology, clinical presentation, and management of CIED-related TR.http://www.sciencedirect.com/science/article/pii/S2474870624000678Cardiac implantable electronic devicesCardiac resynchronization therapyDefibrillatorPacemakerTricuspid regurgitation
spellingShingle Omar M. Aldaas, MD
Gary Ma, MD
Quan Bui, MD
Ryan R. Reeves, MD
Ulrika Birgersdotter-Green, MD
Tricuspid Regurgitation in the Setting of Cardiac Implantable Electronic Devices
Structural Heart
Cardiac implantable electronic devices
Cardiac resynchronization therapy
Defibrillator
Pacemaker
Tricuspid regurgitation
title Tricuspid Regurgitation in the Setting of Cardiac Implantable Electronic Devices
title_full Tricuspid Regurgitation in the Setting of Cardiac Implantable Electronic Devices
title_fullStr Tricuspid Regurgitation in the Setting of Cardiac Implantable Electronic Devices
title_full_unstemmed Tricuspid Regurgitation in the Setting of Cardiac Implantable Electronic Devices
title_short Tricuspid Regurgitation in the Setting of Cardiac Implantable Electronic Devices
title_sort tricuspid regurgitation in the setting of cardiac implantable electronic devices
topic Cardiac implantable electronic devices
Cardiac resynchronization therapy
Defibrillator
Pacemaker
Tricuspid regurgitation
url http://www.sciencedirect.com/science/article/pii/S2474870624000678
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