{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T06:14:09Z","timestamp":1777356849376,"version":"3.51.4"},"reference-count":9,"publisher":"Wiley","issue":"s1","license":[{"start":{"date-parts":[[2009,2,23]],"date-time":"2009-02-23T00:00:00Z","timestamp":1235347200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2009,3]]},"abstract":"<jats:p> <jats:italic>\n            <jats:bold>Aim:<\/jats:bold> Severe tricuspid insufficiency (TI) after permanent pacemaker implantation (PPI) has been described in small series of patients, though its incidence is not known.<\/jats:italic> <\/jats:p><jats:p> <jats:italic>\n            <jats:bold>Methods:<\/jats:bold> We retrospectively analyzed the data of 545 patients who underwent PPI and had Doppler echocardiograms performed before and after the procedure. We excluded 135 patients who had \u2265moderate TI on the 1st Doppler echocardiogram.<\/jats:italic> <\/jats:p><jats:p> <jats:italic>\n            <jats:bold>Results:<\/jats:bold> Group 1 included 75 patients (18.3%) who had a &gt;2 grades worsening of TI, and group 2 included 335 patients (82%) with &lt;2 grade increase in TI after PPI. Patients in group 1 were 77 \u00b1 7 years of age, versus 72 \u00b1 10 years in group 2 (P &lt; 0.001). There was no difference in left ventricular size and function. The TI gradient before PPI was higher in group 2 (25 \u00b1 13 mmHg versus 19 \u00b1 12 mmHg [P &lt; 0.001]), though within the normal range in both groups. The mitral E\/A ratio was 0.98 in group 1 versus 1.42 in group 2 (P &lt; 0.001). The systolic TI gradient after implantation was 42 \u00b1 12 mmHg in group 1, versus 33 \u00b1 8 mmHg in group 2 (P &lt; 0.001).<\/jats:italic> <\/jats:p><jats:p> <jats:italic>\n            <jats:bold>Conclusion:<\/jats:bold> Worsening of TI after PPI was not rare and was observed more often in older patients, with abnormal LV relaxation and who developed pulmonary hypertension after the procedure.<\/jats:italic> <\/jats:p>","DOI":"10.1111\/j.1540-8159.2008.02269.x","type":"journal-article","created":{"date-parts":[[2009,2,23]],"date-time":"2009-02-23T20:35:41Z","timestamp":1235421341000},"source":"Crossref","is-referenced-by-count":67,"title":["Tricuspid Incompetence Following Permanent Pacemaker Implantation"],"prefix":"10.1111","volume":"32","author":[{"given":"MARC","family":"KLUTSTEIN","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JONATHAN","family":"BALKIN","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ADI","family":"BUTNARU","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MICHAEL","family":"ILAN","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"AMNON","family":"LAHAD","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"DAVID","family":"ROSENMANN","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,2,23]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2005.02.037"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.83.2.282"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(86)80032-7"},{"key":"e_1_2_8_5_2","first-page":"311","article-title":"Tricuspid regurgitation induced by transvenous right ventricular pacing: Echocardiographic and pathological observations","volume":"17","author":"Sakai M","year":"1987","journal-title":"J Cardiol"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8175.2007.00443.x"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.1093\/ejechocard\/jem071"},{"key":"e_1_2_8_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8175.2006.00289.x"},{"key":"e_1_2_8_9_2","first-page":"249","article-title":"Permanent cardiac pacing and its influence on tricuspid valve function","volume":"60","author":"Krupa W","year":"2001","journal-title":"Folio Morphol"},{"key":"e_1_2_8_10_2","first-page":"74","article-title":"Transvenous pacemaker leads do not worsen tricuspid regurgitation: A prospective echocardiographic study","volume":"93","author":"Leibowitz DW","year":"2000","journal-title":"Echocardiography"}],"container-title":["Pacing and Clinical Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1540-8159.2008.02269.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1540-8159.2008.02269.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,26]],"date-time":"2023-09-26T14:53:01Z","timestamp":1695739981000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1540-8159.2008.02269.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,2,23]]},"references-count":9,"journal-issue":{"issue":"s1","published-print":{"date-parts":[[2009,3]]}},"alternative-id":["10.1111\/j.1540-8159.2008.02269.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1540-8159.2008.02269.x","archive":["Portico"],"relation":{},"ISSN":["0147-8389","1540-8159"],"issn-type":[{"value":"0147-8389","type":"print"},{"value":"1540-8159","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,2,23]]}}}