Key result
Baseline conducting system disease is the most powerful independent predictor of permanent pacemaker requirement following isolated aortic valve replacement (incidence 3.0% to 11.8%).
Why the study?
What factors predict the requirement for permanent pacemaker implantation in patients undergoing isolated aortic valve replacement?
Population
Patients undergoing isolated aortic valve replacement, excluding transcatheter aortic valve intervention…
Design
Systematic_review
Authors
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Preoperative conduction assessment may refine post-AVR PPM risk stratification; reinforces baseline disease as dominant predictor in systematic review.
Systematic Review
What factors predict the requirement for permanent pacemaker implantation in patients undergoing isolated aortic valve replacement?
Baseline conduction system disease, surgery for aortic regurgitation, preoperative MI, and longer bypass time are key predictors for permanent pacemaker implantation after isolated aortic valve replacement.
Matthews et al. (2010) conducted a systematic review in Isolated aortic valve replacement. Baseline conducting system disease was evaluated on Requirement for permanent pacemaker (PPM) implantation. Baseline conducting system disease is the most powerful independent predictor of permanent pacemaker requirement following isolated aortic valve replacement (incidence 3.0% to 11.8%).
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