Tricuspid Regurgitation
Conditions
Keywords
Pacemaker, Tricuspid regurgitation
Brief summary
1 To examine whether right ventricular pacing has an impact on tricuspid regurgitation grade that is related to pacing rather than to valve closure interference by the electrode.
Detailed description
1 Traditionally, tricuspid regurgitation in the presence of pacemaker is attributed to the physical interference of the valve closure by the electrode. 2 Right ventricular pacing may be associated with dyssynchrony in contraction of the right ventricular wall (i.e. septum and free wall. 3 The tricuspid sub-valvar apparatus is anchored to the septum and free wall, thus may be sensitive to dyssynchrony in those wals contraction. 4 The study hypothesis is that the dyssynchrony in right ventricular contraction, induced by pacing, may increase tricuspid regurgitation grade and that this is a mechanism is independent of the mechanical effect of the electrode on the valve closure.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Age \>18 years * Permanent pacemaker
Exclusion criteria
* Epicardial pacing * Left ventricular dysfunction * Organic tricuspid regurgitation * Bi-ventricular pacemaker * Atrial fibrillation * Complete pacemaker dependence
Countries
Israel