Login
Search
Search
0 Dates
2024
2023
2022
2021
2020
2019
2018
0 Events
CPC 2018
CPC 2019
Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
CPC 2020
CPC 2021
CPC 2022
CPC 2023
CPC 2024
0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
I. Hypertension
J. Preventive Cardiology
K. Cardiovascular Disease In Special Populations
L. Cardiovascular Pharmacology
M. Cardiovascular Nursing
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
O. Basic Science
P. Other
0 Themes
01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
0 Resources
Abstract
Slides
Vídeo
Report
CLEAR FILTERS
CONDUCTION DISTURBANCES IN VERY OLD PATIENTS AFTER TAVI
Session:
Painel 11 - Cardiologia Intervenção 4
Speaker:
Ricardo Alves Pinto
Congress:
CPC 2020
Topic:
H. Interventional Cardiology and Cardiovascular Surgery
Theme:
25. Interventional Cardiology
Subtheme:
25.3 Non-coronary Cardiac Intervention
Session Type:
Posters
FP Number:
---
Authors:
Ricardo Alves Pinto; Miguel Martins De Carvalho; Tânia Proença; Pedro Grilo Diogo; Carlos Xavier Resende; Sofia Torres; Catarina Martins Da Costa; Ana Amador; João Calvão; Paulo Araújo; Alzira Nunes; Roberto Pinto; Marta Tavares da Silva; Gonçalo Pestana; Silvia Marta Oliveira; Raquel Mota Garcia; Ana Margarida Lebreiro; Luís Adão; JOAO SILVA; Maria Júlia Maciel Barbosa
Abstract
<p><strong>Introduction</strong>: Transcatheter aortic valve implantation (TAVI) is an established procedure to treat intermediate and high-risk patients with symptomatic severe aortic stenosis. The occurrence of conduction disturbances remains the most frequent complication. The advanced age of most patients is associated with an increased risk of conduction disturbances independent from TAVI. Thus, some relevant conduction issues may be present before TAVI but remain silent and are detected only after the procedure because of the systematic postprocedural ECG monitoring.</p> <p><strong>Purpose</strong>: To evaluate a subgroup of very old patients who underwent TAVI and compare rhythm characteristics with younger one.</p> <p><strong>Methods</strong>: We retrospectively analyzed a subgroup of very old patients who underwent TAVI at a tertiary center from October 2014 to November 2019 (n=371); patients with a previous pacemaker (PM) was excluded (n=30). Clinical and electrocardiographic data was collected at presentation and up to 1 year after. This group was compared with younger group. Very old patients were defined has being 85 years or older.</p> <p><strong>Results</strong>: Of our total population of 341 patients, 99 patients were selected for this subgroup analyses, having a mean age of 87.4 ± 2.5 year-old. The main valve used was the CoreValve Evolut R (40.4%) and 29.3% of patients underwent balloon valve pre-dilation before implantation. Comparing to the subgroup of younger, older patients had more previous RBBB (13.1% vs 4.5%), newer conduction disturbances (58.6% vs 47.1%) and less conduction disturbance reversion (47.7% vs 51.2%), although not statistically significant. Even with more previous conduction disturbances, older patients maintained temporary pacemaker for the same time as younger ones (median time of 48 hours) without higher rhythm complications post pacemaker removal. Older patients had more PM implantation after-TAVI and more previous PM (19.0% vs 16.1%, 14.7 vs 5.1%, respectively; p=0.004). As in younger group, the main cause to implant PM was advanced atrioventricular block (59.1% vs 65.9%). Curiously, percentage of ventricular pacing (VP) was lower in the older group (median 18% vs 76%) but this difference was not statistically significant (p=0.274).</p> <p><strong>Conclusion</strong>: Very old patients represent an important subset of all patients submitted to TAVI. This group has higher prevalence of newer conduction disturbances and PM implantation, however, seems to stay more time free of VP.</p>
Slides
Our mission: To reduce the burden of cardiovascular disease
Visit our site