Why the study?
Little is known regarding the incidence and clinical impact of arrhythmic events beyond the periprocedural TAVR period.
Population
Patients undergoing TAVR
Design
Review
Key result
Ambulatory electrocardiogram monitoring has emerged as a safe and useful diagnostic tool to detect bradyarrhythmias and tachyarrhythmias before and after transcatheter aortic valve replacement.
Authors
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Captured external expert commentary on this paper, strongest first. Original sources are linked where available.
“The patients that seem to benefit the most are those with some conduction issues, but interestingly, it could be either new or old.”
“It's a very humble step forward in order to provide some kind of guidance [in] a field that has been really quite chaotic, I would say, in the last 10 years. Nobody knows exactly what to do, and we have to recognize that the data we had to provide some guidance was really scarce and [more is] badly needed.”
“Patients should have a pre-TAVI assessment by an EP doctor.”
May support expanded post-TAVR surveillance; leaves open whether detection gains improve hard outcomes in larger trials.
Muntané‐Carol et al. (2021) conducted a review in Severe aortic stenosis undergoing transcatheter aortic valve replacement. Ambulatory electrocardiogram (AECG) monitoring was evaluated. Ambulatory electrocardiogram monitoring has emerged as a safe and useful diagnostic tool to detect bradyarrhythmias and tachyarrhythmias before and after transcatheter aortic valve replacement.