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
Pacemaker implantation and dependency after TAVI - a tertiary center experience
Session:
Posters (Sessão 4 - Écran 6) - Intervenção Valvular Aórtica Percutânea 1
Speaker:
Joana Guimarães
Congress:
CPC 2023
Topic:
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
Theme:
15. Valvular Heart Disease
Subtheme:
15.4 Valvular Heart Disease – Treatment
Session Type:
Pósters Electrónicos
FP Number:
---
Authors:
Joana Guimarães; Diogo Fernandes; Gonçalo Costa; Eric Monteiro; Gustavo Campos; João Rosa; Ana Rita Gomes; Rafaela Fernandes; Vanessa Lopes; João André Ferreira; Vera Marinho; Elisabete Jorge; Marco Costa; Graça Castro; Lino Gonçalves
Abstract
<p>Background: Conduction disturbances are one of the most frequent complications after transcatheter aortic valve implantation (TAVI), requiring permanent pacemaker implantation (PPI). However, studies about pacemaker dependency in this patients are scarce.</p> <p> </p> <p>Purpose: The aim of this study is to analyze the incidence of PPI within 30 days after TAVI, short-term pacing dependency and its predictors.</p> <p> </p> <p>Methods: We retrospectively analyzed consecutive patients who underwent TAVI at a Portuguese tertiary center from March 2020 to October 2022. Clinical, anatomical and ECG data were collected at presentation and during follow up, including systematic interrogation of implanted pacemaker at least twice after TAVI. Pacemaker dependency was defined as a ventricular pacing rate > 90%. Logistic regression test was used.</p> <p> </p> <p>Results: From the total of 288 patients without previous pacemaker who underwent TAVI, 70 (24,3%) needed PPI after the procedure (57,1% were male and mean age was 82,4 ± 5,4 years old). PPI occurred at a median time of 3.7 days (range, 1-22 days). The main reason for PPI was complete atrioventricular block (AVB) (77,6 %) followed by alternating bundle branch block (ABBB) (10,4 %), LBBB plus 1st degree AVB (9%) and isolated left bundle branch block (LBBB) (3%). 2% of patients had a ventricular pacing rate of 0% during follow up and 47,2% were pacemaker dependent at 30 days. Patients with self-expandable prosthesis (OR 1.98, 95% CI 1.15-3.45, p=0,03) and baseline right bundle branch block (OR 2.02, 95% CI 1.06-3.83, p=0,04) revealed greater risk for PPI dependency at 1 month after TAVI. Within the group of patients with self-expandable prosthesis, no difference in pacing dependency was found between them. Left ventricular outflow tract calcifications (OR 1.15, 95% CI 0.27-4.90, p=0,85) and balloon post-dilation (OR 2.17, 95% CI 0.60-7.80, p=0,24) were not associated with pacemaker dependency.</p> <p> </p> <p>Conclusion: Less than half of the patients undergoing pacemaker implantation after TAVI are pacemaker-dependent at short-term follow-up, which may indicate that conduction disorders probably have a temporary nature. Also pre-procedure conduction abnormality and type of TAVI are associated with higher PPI dependency, thus influencing device selection.</p>
Slides
Our mission: To reduce the burden of cardiovascular disease
Visit our site