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Cardiology • Cardiac Electrophysiology
When should you suspect TR related to pacemaker lead placement as a cause of RV dysfunction rather than pulmonary HTN or other etiologies for RV failure associated with tricuspid regurgitation?
Additionally are there strategies in place to ensure optimal positioning of the PPM leads through the TV?
Answer from: at Community Practice
It would be patient-specific but would need to include RHC to rule out pHTN (of any group). That should point you in the right direction. I suspect this would be pretty rare and would have to have very severe TR.
We know there is a magic amount of slack to put in the RV lead to minimize TR, but thi...
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