Nonapical Right Ventricular Pacing Is Associated with Less Tricuspid Valve Interference and Long-Term Progress of Tricuspid Regurgitation

•Non-RVA and RVA pacing was more likely to be in the M and P positions, respectively.•Lead in the P position was associated with severe TR compared with the M position.•RVA pacing with Vp > 90% was associated with severe TR and increased worsening of TR.•Lead passage angle -15° and 15° was associated with M passage