Tricuspid regurgitation in His bundle pacing: A systematic review

Abstract Objective This systematic review aimed to explore an association of new TR and its quantification in patients undergoing His bundle pacing (HBP). Methods A literature review was conducted using Mesh terms (His bundle pacing, tricuspid regurgitation, tricuspid valve incompetence, etc.) in Pu...

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Main Authors: Syed Muhammad Jawad Zaidi, Hasan Sohail, Danish Iltaf Satti, Abdul Sami, Mateen Anwar, Jahanzeb Malik, Bilal Mustafa, Mohammad Mustafa, Amin Mehmoodi
Format: Article
Language:English
Published: Wiley 2022-11-01
Series:Annals of Noninvasive Electrocardiology
Online Access:https://doi.org/10.1111/anec.12986
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author Syed Muhammad Jawad Zaidi
Hasan Sohail
Danish Iltaf Satti
Abdul Sami
Mateen Anwar
Jahanzeb Malik
Bilal Mustafa
Mohammad Mustafa
Amin Mehmoodi
author_facet Syed Muhammad Jawad Zaidi
Hasan Sohail
Danish Iltaf Satti
Abdul Sami
Mateen Anwar
Jahanzeb Malik
Bilal Mustafa
Mohammad Mustafa
Amin Mehmoodi
author_sort Syed Muhammad Jawad Zaidi
collection DOAJ
description Abstract Objective This systematic review aimed to explore an association of new TR and its quantification in patients undergoing His bundle pacing (HBP). Methods A literature review was conducted using Mesh terms (His bundle pacing, tricuspid regurgitation, tricuspid valve incompetence, etc.) in PubMed, EMBASE, Web of science CINAHL, and the Cochrane Library till October 2021. Relevant studies evaluating tricuspid regurgitation in HBP were included and information regarding TR and its related factors (ejection fraction (EF) and New York Heart Association (NYHA) class) were retrieved from the eligible studies. Results Out of 196 articles, 10 studies met the inclusion criteria, which consisted of 546 patients with HBP. The mean age of the patients ranged between 61.2 ± 12.3 and 75.1 ± 7.9 years with 54.1% males. The overall implant success rate was 79.2%. Only one study reported a 5% incidence of TR, while 9 studies reported no new TR after HBP. Four studies reported overall decrease in TR by 1 grade and 3 studies demonstrated increased TR from baseline. Two studies showed no change from baseline TR. Conclusion HBP causes improvement in TR grade after HBP for cardiac resynchronization therapy (CRT) as well as atrioventricular block (AVB). Further studies in the form of randomized controlled trials are required to further evaluate the effect of HBP on tricuspid valve functioning.
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spelling doaj.art-6208f67dc39444eca2545af1e5983d612022-12-22T04:38:57ZengWileyAnnals of Noninvasive Electrocardiology1082-720X1542-474X2022-11-01276n/an/a10.1111/anec.12986Tricuspid regurgitation in His bundle pacing: A systematic reviewSyed Muhammad Jawad Zaidi0Hasan Sohail1Danish Iltaf Satti2Abdul Sami3Mateen Anwar4Jahanzeb Malik5Bilal Mustafa6Mohammad Mustafa7Amin Mehmoodi8Department of Medicine Rawalpindi Medical University Rawalpindi PakistanDepartment of Cardiology Sialkot Medical Complex Sialkot PakistanShifa Tameer e Millat University Islamabad PakistanDepartment of Electrophysiology DHQ Teaching Hospital Kohat PakistanDepartment of Cardiology THQ Hospital PakistanDepartment of Interventional Cardiology Rawalpindi Institute of Cardiology Rawalpindi PakistanDepartment of Cardiology Akbar Niazi Teaching Hospital Islamabad PakistanDepartment of Interventional Cardiology Rawalpindi Institute of Cardiology Rawalpindi PakistanDepartment of Medicine Ibn e Seena Hospital Kabul AfghanistanAbstract Objective This systematic review aimed to explore an association of new TR and its quantification in patients undergoing His bundle pacing (HBP). Methods A literature review was conducted using Mesh terms (His bundle pacing, tricuspid regurgitation, tricuspid valve incompetence, etc.) in PubMed, EMBASE, Web of science CINAHL, and the Cochrane Library till October 2021. Relevant studies evaluating tricuspid regurgitation in HBP were included and information regarding TR and its related factors (ejection fraction (EF) and New York Heart Association (NYHA) class) were retrieved from the eligible studies. Results Out of 196 articles, 10 studies met the inclusion criteria, which consisted of 546 patients with HBP. The mean age of the patients ranged between 61.2 ± 12.3 and 75.1 ± 7.9 years with 54.1% males. The overall implant success rate was 79.2%. Only one study reported a 5% incidence of TR, while 9 studies reported no new TR after HBP. Four studies reported overall decrease in TR by 1 grade and 3 studies demonstrated increased TR from baseline. Two studies showed no change from baseline TR. Conclusion HBP causes improvement in TR grade after HBP for cardiac resynchronization therapy (CRT) as well as atrioventricular block (AVB). Further studies in the form of randomized controlled trials are required to further evaluate the effect of HBP on tricuspid valve functioning.https://doi.org/10.1111/anec.12986
spellingShingle Syed Muhammad Jawad Zaidi
Hasan Sohail
Danish Iltaf Satti
Abdul Sami
Mateen Anwar
Jahanzeb Malik
Bilal Mustafa
Mohammad Mustafa
Amin Mehmoodi
Tricuspid regurgitation in His bundle pacing: A systematic review
Annals of Noninvasive Electrocardiology
title Tricuspid regurgitation in His bundle pacing: A systematic review
title_full Tricuspid regurgitation in His bundle pacing: A systematic review
title_fullStr Tricuspid regurgitation in His bundle pacing: A systematic review
title_full_unstemmed Tricuspid regurgitation in His bundle pacing: A systematic review
title_short Tricuspid regurgitation in His bundle pacing: A systematic review
title_sort tricuspid regurgitation in his bundle pacing a systematic review
url https://doi.org/10.1111/anec.12986
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