Frontiers in cardiovascular medicine · 2026
Conduction abnormalities after TAVI and their role in patient management: a systematic review.
СтатьяОбзорНазвание и аннотация: Перевод в очереди
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Tudorancea Ionuț, Popa Irene Paula, Haba Mihai Ștefan Cristian, Popa Ștefan, Onofrei Viviana, Șerban Dragomir Nicolae, Șerban Ionela Lăcrămioara, Costache-Enache Irina Iuliana, Iliescu Radu, Loghin Cătălin
Аннотация
OBJECTIVE: Transcatheter aortic valve implantation (TAVI) is associated with a relatively high incidence of permanent pacemaker implantation (PPM-I). We aimed to evaluate the existing literature on electrocardiographic (ECG) changes before and after TAVI, identify predictors for PPM-I, and suggest a standardized post-TAVI ECG monitoring protocol.
METHODS: A systematic literature review was conducted across multiple databases, including PubMed, Web of Science, and JSTOR, to identify studies published between 2001 and 2024.
RESULTS: From an initial pool of 24,170 records, 17 studies met the inclusion criteria. Pre-existing right bundle branch block and significant prolongation of ECG intervals were identified as strong predictors of PPM-I. Following TAVI, new-onset left bundle branch block, prolonged PR interval, and QRS complex widening were the most common ECG changes.
CONCLUSION: Systematic periprocedural ECG monitoring during TAVI is of paramount importance for the early recognition of conduction abnormalities (CAs) that predict the need for PPM-I.
METHODS: A systematic literature review was conducted across multiple databases, including PubMed, Web of Science, and JSTOR, to identify studies published between 2001 and 2024.
RESULTS: From an initial pool of 24,170 records, 17 studies met the inclusion criteria. Pre-existing right bundle branch block and significant prolongation of ECG intervals were identified as strong predictors of PPM-I. Following TAVI, new-onset left bundle branch block, prolonged PR interval, and QRS complex widening were the most common ECG changes.
CONCLUSION: Systematic periprocedural ECG monitoring during TAVI is of paramount importance for the early recognition of conduction abnormalities (CAs) that predict the need for PPM-I.