September 1, 2015EuroIntervention
Managing heart block after transcatheter aortic valve implantation: from monitoring to device selection and pacemaker indications
Key result
Post-TAVI conduction abnormalities remain linked to higher mortality, demanding individualized pacemaker management.
Why the study?
New-onset conduction abnormalities after newer-generation TAVI devices remain frequent and may increase mortality and cardiac dysfunction, necessitating improved management strategies.
Population
Patients undergoing transcatheter aortic valve implantation
Comparison
Management strategies for conduction abnormalities including monitoring, device selection, and pacemaker implantation
Design
Review article
Authors
Discussion
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Member takes
Implication
May warrant closer post-TAVI rhythm monitoring; leaves open prognostic impact amid observational inconsistencies.
Structured PICO
P
Population
Patients undergoing transcatheter aortic valve implantation (TAVI)
E
Exposure
Management strategies for conduction abnormalities (including monitoring, device selection, and permanent pacemaker implantation)
O
Outcome
Incidence and impact of conduction disturbances following TAVI
This review summarizes the incidence and impact of conduction disturbances post-TAVI and proposes management strategies for pacemaker indications.
Cite This Study
Ureña et al. (2015) conducted a review in Heart block and conduction abnormalities post-TAVI. Management of conduction disturbances was evaluated. New-onset conduction abnormalities post-TAVI remain a frequent complication associated with higher mortality, prompting the need for individualized management and permanent pacemaker strategies.