Key result
Pre-existing right bundle branch block was identified as the only independent predictor for the need of permanent pacemaker implantation after transcatheter aortic valve replacement (OR 3.8).
Why the study?
Despite advances in valve design, the incidence of conduction disorders requiring permanent pacing after TAVR remains high, prompting evaluation of local prevalence and risk factors.
What are the predictors of permanent pacemaker implantation in patients undergoing TAVR?
Cohort (n=717)
No
What are the predictors of permanent pacemaker implantation in patients undergoing TAVR?
Odds Ratio: 3.8 (95% CI 2–7)
p-value: p=<0.0001
In a single-center cohort of 717 TAVR patients, pre-existing right bundle branch block was a strong independent predictor of the need for permanent pacemaker implantation (OR 3.8).
No abstract yet. The journal hasn't published one we can show.
No takes yet. Share an insight, caveat, or question.
Drozdová et al. (2022) conducted a cohort in Severe aortic stenosis (n=717). Pre-existing right bundle branch block (RBBB) vs. Absence of pre-existing RBBB was evaluated on Permanent pacemaker implantation after TAVR (OR 3.8, 95% CI 2.0-7.0, p=<0.0001). Pre-existing right bundle branch block was identified as the only independent predictor for the need of permanent pacemaker implantation after transcatheter aortic valve replacement (OR 3.8).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: