ABSTRACT
Tricuspid stenosis in the setting of endocardial pacing leads is a rare entity, attributed to infection or lead malposition. We report the case of a 37-year-old man without these risk factors, who presented with new onset severe tricuspid stenosis in the setting of multiple chronic pacing leads.
Subject(s)
Pacemaker, Artificial/adverse effects , Tricuspid Valve Stenosis/diagnosis , Tricuspid Valve Stenosis/etiology , Tricuspid Valve/surgery , Adult , Anticoagulants/therapeutic use , Diuretics/therapeutic use , Electrocardiography , Electrodes, Implanted , Humans , Male , Sternotomy , Tomography, X-Ray Computed , Treatment Outcome , Tricuspid Valve Stenosis/surgeryABSTRACT
Impaired fasting glucose (IFG) contributes to microvascular and macrovascular complications and increased cardiovascular disease risk. Although type 2 diabetes is largely considered to occur as a result of IFG, understanding of physiologic and associated management targets is uniformly lacking among health care professionals. Once definitions are standardized, diagnostic criteria and screening tools may help to identify individuals at risk sooner, thereby minimizing the rapid deterioration that often results. To counter the rising pandemic of obesity and diabetes, it is important to understand the vascular risk of IFG and impaired glucose tolerance in patients at risk.