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Every TAVR deserves a cardiac implantable electronic device specialist
Author(s) -
Seto Arnold H.,
Kern Morton J.
Publication year - 2019
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.28000
Subject(s) - medicine , cardiology , conduction abnormalities , permanent pacemaker , heart failure , heart block , incidence (geometry) , ventricular pacing , cardiomyopathy , electrocardiography , physics , optics
Key Points TAVR patients given pacemakers operating in mandatory DDD mode had more ventricular pacing, heart failure hospitalization, and mortality compared with AAI‐DDD or VVI modes. AV conduction disturbances are often transient after TAVR. Minimizing ventricular pacing where possible avoids the risk of pacemaker‐induced cardiomyopathy. Pacemaker specialists should be consulted for any TAVR patient with mild rhythm abnormalities given the high incidence of AV block.