Valvular & structural heart disease

Relationship between cardiac implantable electronic devices and tricuspid regurgitation in the general population

Heart RhythmPublished longitudinal Cox proportional-hazards analysis

Authors' conclusion

Patients with a CIED experienced a higher risk of TR and tricuspid interventions, although the magnitude of the hazard was smaller than other cardiovascular risk factors.

Study context

Population
Adults who received care in an emergency department, hospital, or outpatient surgery facility in California from 1 October 2015 to 31 December 2020, excluding patients with rheumatic or congenital heart disease, endocarditis, and carcinoidpatients contributing 54,650,137 person-years
Participants
16,889,936 adults
Exposure
Cardiac implantable electronic devices (CIED) implantation vs no CIED
Outcome
Incident TR
Follow-up
Median of 3.55 years

Main finding

As reported in the abstract

Instances of tricuspid regurgitation (TR)

10,757

Unadjusted: CIED implantation associated with higher risk of incident TR

17-fold

Adjusted for demographics and medical comorbidities: higher risk of TR with a CIED

65%

Observational data: associations, not effects.

Further findings

Tricuspid valve interventions identified
72
After multivariable adjustment: CIED implantation associated with increased risk of tricuspid intervention
3-fold

Original publication

Relationship between cardiac implantable electronic devices and tricuspid regurgitation in the general population. Heart Rhythm. Published 24 July 2025. doi:10.1016/j.hrthm.2025.07.031

Composed by AI from the published abstract and checked against it. How Briefs are made →

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