Predictors of permanent pacemaker requirement after transcatheter aortic valve implantation: Insights from a Brazilian Registry
Int. j. cardiol
; 175(2): 248-252, 2014. ilus
Artigo
em Inglês
| Sec. Est. Saúde SP, SESSP-IDPCPROD, Sec. Est. Saúde SP
| ID: biblio-1063537
Biblioteca responsável:
BR79.1
Localização: BR79.1
ABSTRACT
Background:
The aimof this study is to evaluate the predictors of permanent pacemaker (PPM) implantation afterTAVI.Methods:
Between January 2008 and February 2012, 418 patientswith severe aortic stenosis underwent TAVI andwere enrolled in a Brazilian multicenter registry. After excluding patients who died during the procedure andthose with a previous PPM, 353 patients were included in the analysis.Results:
At 30 days, the overall incidence of PPM implantation was 25.2%. Patients requiring PPM weremore likelyto be older (82.73 vs. 81.10 years, p = 0.07), have pre-dilation (68.42% vs. 60.07%, p = 0.15), receive CoreValve(93.68% vs. 82.55%, p = 0.008), and have baseline right bundle branch block (RBBB, 25.26% vs. 6.58%, p b 0.001).On multivariable analysis, CoreValve vs. Sapien XT (OR, 4.24; 95% CI, 1.5611.49; p = 0.005), baseline RBBB (OR,4.41; 95% CI, 2.208.82; p b 0.001), and balloon pre-dilatation (OR, 1.75; 95% CI, 1.023.02; p = 0.04) were independentpredictors of PPM implantation.Conclusion:
PPM implantation occurred in approximately one-fourth of cases. Pre-existing RBBB, balloon predilatation,and CoreValve use were independent predictors of PPM after TAVI. The type of prosthesis used andpre-balloon dilatation should be considered in TAVI candidates with baseline RBBB.
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Coleções:
Bases de dados nacionais
/
Brasil
Base de dados:
Sec. Est. Saúde SP
/
SESSP-IDPCPROD
Assunto principal:
Estenose da Valva Aórtica
/
Volume Sistólico
/
Ecocardiografia Transesofagiana
Tipo de estudo:
Ensaio clínico controlado
/
Estudo prognóstico
/
Fatores de risco
País/Região como assunto:
América do Sul
/
Brasil
Idioma:
Inglês
Revista:
Int. j. cardiol
Ano de publicação:
2014
Tipo de documento:
Artigo
Instituição/País de afiliação:
Hospital Beneficiência Portuguesa/BR
/
Hospital Israelita Albert Einstein/BR
/
Hospital Naval Marcílio Dias/BR
/
Hospital Pró-Cardíaco/BR
/
Hospital São Lucas/BR
/
Instituto Dante Pazzanese de Cardiologia/BR
/
Instituto de Cardiologia Laranjeiras/BR
/
Instituto de Cardiologia do Rio Grande do Sul/BR
/
Instituto do Coração/BR