Update in heart rhythm abnormalities and indications for pacemaker after transcatheter aortic valve implantation

Objective: Rhythm abnormalities following transcatheter aortic valve implantation (TAVI) and indications for permanent pacemaker implantation (PPI) were reviewed, which aren’t well established in the current guidelines. New left bundle branch block and atrioventricular block are the most common elec...

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Detalles Bibliográficos
Autores: Saadi, Marina Petersen, Tagliari, Ana Paula, Danzmann, Luiz Cláudio, Bartholomay, Eduardo, Kochi, Adriano Nunes, Saadi, Eduardo Keller
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2018
País:Brasil
Institución:Universidade Federal do Rio Grande do Sul (UFRGS)
Repositorio:Repositório Institucional da UFRGS
Idioma:inglés
OAI Identifier:oai:www.lume.ufrgs.br:10183/198898
Acceso en línea:http://hdl.handle.net/10183/198898
Access Level:acceso abierto
Palabra clave:Estenose da valva aórtica
Substituição da valva aórtica transcateter
Arritmias cardíacas
Marca-passo artificial
Aortic valve stenosis
Transcatheter aortic valve implantation
Arrhythmias, cardiac
Pacemaker, artificial
Descripción
Sumario:Objective: Rhythm abnormalities following transcatheter aortic valve implantation (TAVI) and indications for permanent pacemaker implantation (PPI) were reviewed, which aren’t well established in the current guidelines. New left bundle branch block and atrioventricular block are the most common electrocardiographic changes after TAVI. PPI incidence ranges from 9-42% for selfexpandable and 2.5-11.5% for balloon expandable devices. Not only anatomical variations in conduction system have an important role in conduction disorders, but different valve characteristics and their relationship with cardiac structures as well. Previous right bundle branch block has been confirmed as one of the most significant predictors for PPI.