{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T16:00:42Z","timestamp":1791561642127,"version":"4.3.4"},"reference-count":41,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2024,2,6]]},"abstract":"<jats:sec sec-type=\"background\" xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">Data regarding permanent pacemaker (PPM) implantation following tricuspid valve surgery (TVS) are limited. We sought to evaluate its incidence, risk factors, and outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Methods and Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">\n                      Medicare beneficiaries who underwent TVS from 2013 to 2020 were identified. Patients who underwent TVS for endocarditis were excluded. The primary exposure of interest was new PPM after TVS. Outcomes included all\u2010cause mortality and readmission with endocarditis or heart failure on follow\u2010up. Among the 13\u2009294 patients who underwent TVS, 2518 (18.9%) required PPM placement. Risk factors included female sex (relative risk\u00a0[RR], 1.26 [95% CI, 1.17\u20131.36],\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.0001), prior sternotomy (RR, 1.12 [95% CI, 1.02\u20131.23],\n                      <jats:italic>P<\/jats:italic>\n                      =0.02), preoperative second\u2010degree heart block (RR, 2.20 [95% CI, 1.81\u20132.69],\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.0001), right bundle\u2010branch block (RR, 1.21 [95% CI, 1.03\u20131.41],\n                      <jats:italic>P<\/jats:italic>\n                      =0.019), bifascicular block (RR, 1.43 [95% CI, 1.06\u20131.93],\n                      <jats:italic>P<\/jats:italic>\n                      =0.02), and prior malignancy (RR, 1.23 [95% CI, 1.01\u20131.49],\n                      <jats:italic>P<\/jats:italic>\n                      =0.04). Tricuspid valve (TV) replacement was associated with a significantly higher risk of PPM implantation when compared with TV repair (RR, 3.20 [95% CI, 2.16\u20134.75],\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.0001). After a median follow\u2010up of 3.1\u2009years, mortality was not different in patients who received PPM compared with patients who did not (hazard ratio [HR], 1.02 [95% CI, 0.93\u20131.12],\n                      <jats:italic>P<\/jats:italic>\n                      =0.7). PPM placement was not associated with a higher risk of endocarditis but was associated with a higher risk of heart failure readmission (HR, 1.28 [95% CI, 1.14\u20131.43],\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">PPM implantation frequently occurs after TVS, notably in female patients and patients undergoing TV replacement. Although mortality is not increased, it is associated with higher rates of heart failure rehospitalization.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.123.032760","type":"journal-article","created":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T06:18:42Z","timestamp":1706681922000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":31,"title":["Incidence, Risk Factors, and Outcomes Associated With Permanent Pacemaker Implantation Following Tricuspid Valve Surgery"],"prefix":"10.1161","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6761-7636","authenticated-orcid":false,"given":"Joseph","family":"Kassab","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Medicine Heart, Vascular and Thoracic Institute, Cleveland Clinic Foundation Cleveland OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7442-4928","authenticated-orcid":false,"given":"Serge C.","family":"Harb","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Heart, Vascular and Thoracic Institute, Cleveland Clinic Foundation Cleveland OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0010-9797","authenticated-orcid":false,"given":"Milind Y.","family":"Desai","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Heart, Vascular and Thoracic Institute, Cleveland Clinic Foundation Cleveland OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9410-7543","authenticated-orcid":false,"given":"A. Marc","family":"Gillinov","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery Heart, Vascular and Thoracic Institute, Cleveland Clinic Foundation Cleveland OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7952-9967","authenticated-orcid":false,"given":"Habib","family":"Layoun","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Heart, Vascular and Thoracic Institute, Cleveland Clinic Foundation Cleveland OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8480-3745","authenticated-orcid":false,"given":"Joseph","family":"El Dahdah","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Heart, Vascular and Thoracic Institute, Cleveland Clinic Foundation Cleveland OH 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