Risk factors for pacemaker implantation

Risk factors for late-onset pacemaker implantation included a longer preoperative atrial fibrillation duration (hazard ratio, 1. Age should not be a barrier to getting a pacemaker—even for people over age 90, a new study finds. 4 per 100 person-years, p<0. Aug 28, 2020 · Permanent pacemaker implantation (PPI) is widely used for the treatment of chronic arrhythmia. Types. 321 to 21. Methods Patients from four Jul 27, 2021 · Several procedural factors can influence the development of post-TAVR HAVB. Aug 15, 2023 · An ICD also may be recommended if you're at high risk of dangerous irregular heartbeats, usually because of a weak heart muscle. The proportions of first implantation and replacement were 77. Methods We performed a systematic review of the literature addressing rates and predictors of pacemaker dependency in patients Nov 1, 2013 · Pacemaker safe after age 90. Ever since the first cardiac pacing device was implanted in 1958 by Dr Ake Senning, the rate of implantation has been continually increasing [] According to estimates, 2. May 4, 2022 · The incidence and risk factors of pacemaker (PM) implantation in patients with cardiac amyloidosis (CA) are largely unexplored. 9%) permanent pacemakers were implanted. 1±10. The main objective of this registry was to identify modifiable procedural risk factors for an improved outcome (lower rate of PPI) after TAVI in patients at high risk of PPI. Pacemaker surgery may be an outpatient procedure or an inpatient procedure based on your health and the cause of the rhythm disorder. 97 vs. 5). 4%] patients), perforation in 11 (0. Risk factors are annular calcification, bicuspid aorta, female sex, presence of RBBB or LBBB, prolonged total perfusion time, and hypertension. 0) in the pacing group vs 15. 9 (95% CI: 60. 6 months, a total of 462 patients had CIED infection with incidence of 1. 4, 5 Despite heightened awareness and measures to reduce risk of infection, 6–8 the incidence remains high and the overall burden is increasing as the population receiving CIED continues Objective The onset of new conduction abnormalities requiring permanent pacemaker implantation (PPI) after transcatheter aortic valve implantation (TAVI) is still a relevant adverse event. 9 to 3. Mar 23, 2023 · Procedure technique: A septal implantation of the Micra is recommended to reduce the risk of cardiac perforation, which may not be a risk factor for the worsening of TR. C-LD . 0001). Several other important knowledge gaps include but are not limited to the optimal timing of pacemaker implantation after postoperative AV block, contemporary outcomes of patients with isolated CCAVB who do not undergo pacing, risk factors for pacemaker-induced cardiomyopathy, optimal age and body size for transvenous lead implantation, and Mar 4, 2021 · The hemodynamic profile is excellent, especially in small aortic roots. Meta-analysis with random effects modeling was used to assess the association between potential risk factors and PiCM, re- Feb 16, 2023 · The present study showed three suggestive risk factors. For most older people, the benefits of implanting a pacemaker outweigh the risks. 1,2 The need for a pacemaker increases as patients age, and ICD implantation has expanded as a result of the publication of recent clinical trials. 03 (1. The main objective of this registry was to identify modifiable procedural risk factors for an improved outcome (lower rate of PPI) after TAVI in patients at Nov 1, 2010 · In such patients, the development of postoperative AV block is considered a significant risk factor for requirement of pacemaker implantation [9] , while Schurr et al. Background: While TAVR has evolved as the standard of care for patients with severe aortic stenosis, conduction abnormalities leading to the need Keywords: permanent pacemaker, aortic valve replacement, risk factors, postoperative arrhythmias Transient conduction disorders are often encountered after heart surgery. Air leak. 24,25 In our entire study population, 3. Prior to the TAVR, a transvenous temporary pacemaker is routinely placed to aid in deployment. Therefore, factors Jul 31, 2015 · Venous stenosis is a recognized complication following the implantation of an ICD or a pacemaker. Pacing mode programming followed universal standard. Methods and results Jan 15, 2020 · In the Prospective Evaluation of Pacemaker Lead Endocarditis (PEOPLE) study, a large prospective survey of more than 6,000 patients, the presence of fever within 24 hours prior to CIED implantation was positively correlated with a higher risk of developing device-related infections (adjusted OR: 4. Age no barrier to pacemaker implantation. 2) were used to determine the risk factors predictive of pacemaker implantation in the full and all subgroup populations following stratification. 1%; this risk model had high negative predictive value (95. A pacemaker is used for long-term correction of a too-slow Risk factors for bradycardia requiring pacemaker implantation Increasing age was a common risk factor for PPM implantation in FD. Jan 11, 2024 · Patient age at pacemaker implantation, patient gender, implant group type, and follow-up compliance were factors associated with pacemaker-related complications. Nov 26, 2019 · Background: Risk factors for post-operative conduction disturbances after cardiac valve surgery requiring a permanent pacemaker (PPM) are poorly characterized. Donor age was the only significant risk factor for post-transplant PPM implantation, with a median age of 28. Oct 13, 2021 · Several risk factors for PICM have been described and should be considered before pacemaker (PM) implantation, as thorough patient selection for de novo CRT or HisP, may preclude its manifestation. evaluated risk factors for infection of implantable cardiac devices with data from a registry of 2469 patients in a French hospital between 1996 and 2007. 31 However, the correlation between All patients were invited to follow-up at 1 month, 3 months and 6 months after the pacemaker implantation procedure, and once every 6 months thereafter. The 3-month risk of pacemaker implantation increased from 0. 1111/jocs. The long-term impact of permanent pacemaker (PPM) implantation on survival following cardiac surgery remains ill defined. Results: A total of 16 patients (5. We sought to characterize the trends in the incidence of permanent PM and to identify baseline predictors of future PM implantation in light-chain (AL) and transthyretin (ATTR) CA. Half of perforations were associated with 139 (25%) device problems, 78 (14%) operator use problems, and Jul 29, 2020 · Objectives Transcatheter aortic valve implantation is a recognized treatment for patients with severe aortic stenosis at all risk groups. 8% in large clinical trials. 1%) were implanted with a pacemaker after transplantation. A pacemaker is a device that is surgically implanted under the skin of the chest to mimic the electrical pulses that regulate heartbeats. 5,19,22–24 When a Others, however, have reached different conclusions. November 1, 2013. We aimed to analyze the relationship between the compression ratio of a self-expandable valve (SEV) and the need for PPMI after TAVR. 4, 5 For left‐sided valve surgery, numerous studies have evaluated the demographic and clinical risk factors for PPM placement. The ventricular pacing lead was placed in right ventricular apex or septum. 4, 9, 12– 15 Apr 22, 2024 · Objectives. However, few data are available regarding PPM implantation after TVS. Between 2016 and July 2021, 563 perforations were reported within 30 days of implant and resulted in 150 deaths (27%), 499 cardiac tamponades (89%), 64 pericardial effusions (11%), and 146 patients (26%) required emergency surgery. Objectives: The aim of this study was to investigate the timing and risk factors for PPM implantation after mitral or aortic valve surgery. Kaplan–Meier analysis with a log-rank test was used to compare survival between patients Apr 22, 2024 · Postoperative PPM implantation after cardiac surgery is associated with a greater risk of long-term all-cause mortality and heart failure rehospitalization compared with patients without PPM. Mar 26, 2010 · 1, 2, 6, 30 Although this is one of the largest prospective studies on venous complications after pacemaker implantation, the power is limited to assess the predictive role of single potential risk factors with a low prevalence. [ 1] The number of permanent pacemaker insertions in the United States has been steadily increasing. 18 The use of self-expanding valves over balloon-expandable valves, the degree of valve oversizing (greater than 15–20%) and lower implantation depth within the annulus have each been shown to increase the risk of HAVB after TAVR valve deployment. Apr 26, 2022 · Atrial fibrillation tends to be a comorbidity along with abnormal cardiac conduction and bradycardia, and AF patients with long RR interval or slow ventricular rate response are indicated for pacemaker implantation. 0-49. Skill development through specialized training and compliance counseling may improve outcomes for patients who have complications related to implant group type and poor adherence to Early and late rates of permanent pacemaker implantation and associated risk factors were investigated. 1%) leads (10 [0. May 22, 2024 · Background/Objectives: Despite procedural improvements, post-transcatheter aortic valve replacement (TAVR) conduction disorders remain high. Apr 1, 2019 · There were no reliable risk factors for pacemaker implantation after SAVR. Stroke Volume. Jan 22, 2024 · Transcatheter aortic valve replacement (TAVR) often leads to conduction abnormalities, necessitating pacemaker implantation. 6% (95% CI: 1. We collected data on the study definition of PiCM and calculated pooled prevalence across studies. Jan 31, 2024 · After cardiac surgery, bradyarrhythmias requiring permanent pacemaker (PPM) implantation can occur with an overall incidence of ≈6%, and TVS appears to be an independent risk factor for needing a PPM. During implantation, the risk is lowered when vascular access using anatomic landmarks is replaced by vein visualization with cephalic vein cut down , contrast venography , or ultrasound guidance . Photo: Thinkstock. Nov 21, 2023 · Some of the risk factors that contribute to occurrence of complications during pacemaker implantation include wound infection, endocarditis, inadvertent cardiac perforation, and superior vena cava thrombosis . , published in this issue on pages 1227–1236. Jul 22, 2018 · Leadless pacemakers and low lateral thoracic site pacemaker placement are viable options for patients after device extraction [10-11]. 7% with operations performed after a median of 6 (3-12) days after the Bentall operation. Sep 1, 2019 · Moreover, younger patients may have a higher accumulated risk for pacemaker-associated adverse events because of longer life expectancy and long-term pacemaker exposure. However, few Apr 13, 2022 · Among patients referred for cardiac surgery, atrial fibrillation (AF) is a common comorbidity and a risk factor for postoperative arrhythmias (eg, sinus node dysfunction, atrioventricular heart block), including those requiring permanent pacemaker (PPM) implantation. However, permanent pacemaker rates remain high for self expandable transcatheter valves and permanent pacemaker implantation has been associated with increased morbidity. 7% of patients underwent permanent pacemaker implantation within 30 days of surgical AVR, which is in line with previous studies that Apr 8, 2019 · Results. Jan 20, 2011 · In summary, the following factors were associated with an increased risk of PM removal due to infection: PM replacement vs. 8) at 1 point to 2. Meanwhile, others have reported Dec 20, 2018 · Introduction. 001). 7%). Design and patients: Prospective cohort study on 276 patients submitted for aortic valve replacement: 267 patients (mean (SD) age, 57. Eur Heart J 2011;32:991-998 Aims: Venous lesions, including obstruction and thromboembolism (VTE), are not uncommon after pacemaker implantation. doi: 10. 6%) after SAVR and in 125 (9. Porcari et al. Jun 23, 2021 · Introduction. Aug 1, 2018 · The number of patients in North America and Europe who receive a new pacemaker or implantable cardioverter-defibrillator (ICD) yearly is rising. 1– 11 However, the need for a permanent pacemaker is uncommon, though it significantly increases the length of hospital stay and the overall costs. 001) and an older age (hazard ratio, 1. However, the negative impact is less prominent in patients undergoing mitral/tricuspid valve surgery compared with aortic valve surgery. This suggests that sicker patients with higher risk scores, more cardiac comorbidities, and increased frailty have a similar risk of pacemaker implantation as those who are healthier and at lower risk for surgery. 05; P = . The odds ratio (OR) was calculated to be 5. We present the case of an 82-year-old patient presenting with acute congestive HF and new severely reduced LVEF, 30 days following dual chamber PM Nov 1, 2016 · The study aim was to identify the risk factors of PPM following the implantation of a Nitinol self-expanding prosthesis (for AVR or TAVI). 9 million patients received permanent pacemakers in the United States between 1993 and 2009 []. In our study, the manent pacemaker (PPM) implantation can occur with an overall incidence of ≈6%, and TVS appears to be an independent risk factor for needing a PPM. 2%) leads (92 [2. We aimed to investigate the impact of PPM on survival and explore factors driving outcomes using meta-regression according to the type of surgery. An atrial high-rate episode (AHRE) ≥5 min and an atrial rate ≥180 bpm was defined as AF. Age, BMI, smoking history, the number of implanted electrodes, the history of DVT, the post- operative immobilization time and the levels of inflammatory factors had independent predictive value on postoperative complicated DVT (Table 5). Conduction abnormalities requiring permanent pacemaker (PPM) implantation remain a common finding after TAVR due to the clo … Risk factors for permanent pacemaker implantation were identified using multivariable logistic regression analysis. In order to include a case in the study, it had to meet three requirements: (a) to be the first implantation of a permanent pacemaker, (b) the patient had to be older than 18 years old, and (c) the patient had to sign an informed consent to participate in the study. 6% and 22. Objectives: The aim of this analysis was to evaluate the predictors associated with increased risk of permanent pacemaker implantation (PPMI) following transcatheter aortic valve replacement (TAVR). In the postoperative course 31 (11. Oct 15, 2015 · Background Severe postoperative conduction disturbances requiring permanent pacemaker implantation frequently occur following cardiac surgery. The incidence and risk factors of pacemaker (PM) implantation in patients with cardiac amyloidosis (CA) are largely unexplored. 2014. Methods and results: Patients indicated for permanent pacemaker implantation were included (2016-2020). Permanent cardiac pacing continues to exhibit a high incidence of complications, even among adult populations [36]. 1016/j. 4%, respectively. Jul 15, 2007 · All risk factors used in the analysis were assessed at the time of PPM implantation at the Mayo Clinic–Rochester for both case patients and control subjects. Feb 1, 2023 · We aimed to characterize definition, prevalence, risk factors, and treatment strategies of pacing-induced cardiomyopathy (PiCM). 009). New PMI is a common Risk Factors. Reserving pacemaker implantation for patients >3 kg in weight and 5 days of age may predict patients at low risk of developing complications. However, risk factors, such as patient age, preoperative conduction disturbances, preoperative medication, strong calcified Sep 1, 2019 · Pacemaker implantation after SAVR is uncommon overall, and a higher STS risk score was not a risk factor. Identifying patients at increased risk for symptomatic bradycardia may reduce associated morbidities and health care costs. Oct 3, 2022 · Background The incidence and risk factors of pacemaker (PM) implantation in patients with cardiac amyloidosis (CA) are largely unexplored. 5 years (7. 4,5 For left-sided valve surgery, numerous studies have evalu-ated the demographic and clinical risk factors for PPM placement. This means air can leak from the affected lung into the chest area. Apical septal implantation is considered desirable to avoid the entrapment of the docking button or proximal retrieval feature within the tricuspid valve apparatus. However, few Nov 21, 2019 · Most pacemaker implantations (80%) were performed during the index hospitalization. In this study, the frequency of pacemaker implantation was significantly greater in individuals with pre-existing DM, pre-existing right BBB, QRS duration > 120 ms, and Feb 1, 2023 · We aimed to characterize definition, prevalence, risk factors, and treatment strategies of pacing-induced cardiomyopathy (PiCM). Pacemaker implantation requirements are about 6. Arterial puncture and inadvertent placement of pacing leads in the arterial system ( Figures 7C and 7D ) are avoided by advancing the guidewire into Jul 29, 2021 · Permanent pacemaker implantation may be considered for any patient with any progressive cardiac conduction disease with potential for rapid deterioration of AV nodal function, even in the presence of normal AV conduction after taking into consideration patient age, size, and other individual risk factors. Mar 13, 2021 · On the other hand, some elderly patients undergo pacemaker implantation for bradycardia arrhythmias. Objective: The onset of new conduction abnormalities requiring permanent pacemaker implantation (PPI) after transcatheter aortic valve implantation (TAVI) is still a relevant adverse event. 4% (95% CI: 0. 658. 6) at 18 points. 0) in the non-pacing group (P = 0. Cardiac implantable electronic device (CIED) infection is a potentially devastating cause of morbidity and mortality for patients, 1–3 resulting in significant strain on healthcare resources. Aug 30, 2012 · Infection after pacemaker implantation: infection rates and risk factors associated with infection in a population-based cohort study of 46299 consecutive patients. As the vein the pacemaker wires are inserted into lies very close to one of the lungs, there's a risk of the lung being accidentally punctured during the procedure. 11. Methods and results After cardiac surgery, bradyarrhythmias requiring permanent pacemaker (PPM) implantation can occur with an overall incidence of ≈6%, and TVS appears to be an independent risk factor for needing a PPM. A pacemaker is a device used to prevent dangerously slow heartbeats. 3 – 9 In the years after initial implantation Jan 1, 2019 · Inclusion and Exclusion Criteria. Treatment Outcome. Young age and low weight at the time of implantation are risk factors for complications, while device characteristics appear to play a minor role. Methods A total of 106 patients who were implanted with the VitaFlow transcatheter aortic valve system and for Mar 24, 2020 · The derived risk score assigns points ranging from 1 to 14 to each of these risk factors. Background: TAVR has become an accepted treatment alternative for patients with severe aortic stenosis at elevated surgical risk. 1. During the follow-up period of 17. 2 to 0. 7%) after TAVR (whole group SAVR vs TAVR, P <. Heart failure (HF), a common comorbidity, has not been well studied as an independent risk factor for development of IE in individuals with PPM. Oct 17, 2016 · Furthermore, SD was exclusively seen in patients who had narrow QRS complex or RBBB prior to AVJ ablation and pacemaker implantation, and it was not seen in any patient with preexisting complete LBBB, while the presence of coronary artery disease and history of myocardial infarction were not risk factors of SD in the study cohorts (Table Jan 20, 2011 · In summary, the following factors were associated with an increased risk of PM removal due to infection: PM replacement vs. If 3 pre-procedural risk factors were present, the c-statistic of the model for PPMI was area under the curve of 0. first PM implantation, male sex, younger age, implantation during the earliest part of the study period, absence of prophylactic antibiotics (but only for first PM implantations), dual chamber pacing mode, AV block as an Jul 14, 2003 · Objective: To identify perioperative clinical predictors of permanent pacemaker implantation following aortic valve replacement. May 4, 2022 · Aims. The aim of the present study was to investigate the incidence of postoperative complications and the risk factors in patients with PPI. This problem is known as pneumothorax. Permanent cardiac pacemakers (PCM) are small implanted electronic devices that treat chronic cardiac rhythm dysfunction. Sep 29, 2023 · Among these indicators, the presence of PAR was found to be an independent risk factor for PPI after TAVI. Survival in CIED infection patients remained poor even after effective transvenous lead extraction (TLE), and clinical risk factors for infection were also predictive of post-TLE mortality . [ 2] A pacemaker is an electronic device, approximately the size of a pocket watch, that senses intrinsic heart rhythms and provides Jun 21, 2022 · This article refers to ‘Incidence and risk factors for pacemaker implantation in light chain and transthyretin cardiac amyloidosis’ by A. 3%] patients), and lead failure in 329 (4. The purpose of this prospective study was to assess the role of various patient and procedure-related risk factors in the development of these complications. Jan 20, 2015 · The risk factors of the permanent pacemaker implantation in patients with postoperative delirium Int J Cardiol . 4-56. Risk factors for late pacemaker implantation included age, diabetes, and chronic lung disease. The addition of the procedural factor of Mar 17, 2019 · Logistic regression analysis of risk factors for DVT after permanent pacemaker implantation. We performed a systematic review and meta-analysis of studies that evaluated PiCM after pacemaker implantation identified through a literature search of PubMed and EMBASE up to March 2022. 04) 10 14 18 ( figure 2 ). 95 per 100 person-years with higher infection rate in replacement than first implantation (3. Moreover, implanted prosthetic size does not seem to influence long-term survival. The 30-day incidence of pacemaker implantations was 7. Aims: The incidence and risk factors of pacemaker (PM) implantation in patients with cardiac amyloidosis (CA) are largely unexplored. Purpose We sought to characterise the trends in the Predictive probabilities were generated using this logistic regression model. 4 – 6 Data on venous occlusion following device implantation are limited, and the risk factors for the development of this complication are not well defined. news Study Identifies Risk Lead dislodgement occurred in 94 (1. Methods: Conducted at Clairval Mar 3, 2024 · With the exception of type 2 DM, which predominated in the pacemaker group, baseline variables such as cardiac risk factors and valve type were similar across the two groups. The clinical data of Jan 7, 2022 · Results. However, these Apr 29, 2021 · Permanent pacemaker insertion plays a key role in the management of heart rhythm disorders and heart failure. 350, with a 95% confidence interval (CI) ranging from 1. [5] found redo-operations to pacemaker implantation identified through a literature search of PubMed and EMBASE up to March 2022. Area under the receiver operator characteristics curve was 62. Jan 25, 2021 · Transcatheter aortic valve replacement (TAVR) is a safe and feasible alternative to surgery in patients with symptomatic severe aortic stenosis regardless of the surgical risk. The mortality, cumulative incidence of cerebrovascular accidents, and rate of atrial fibrillation recurrence were not significantly different between Although pacemaker implantation is considered to be minor surgery, complications are common, with rates varying between 3. In most cases, the leak is very small and gets better on its own Risk Factors. An ICD isn't the same as a pacemaker. Potential risk factors, represented by continuous variables, were assessed using 2-sample Student's t tests or rank-sum tests, where appropriate. 2015 Jan 20;179:214-6. This suggests that patients with PAR are more likely to require pacemaker implantation after TAVI compared to those without AR. Background: Permanent pacemaker implantation (PPI) is Dec 8, 2023 · (1) Background: Leadless pacemakers (LPs) have been proposed as a reimplantation strategy in pacing-dependent patients undergoing cardiac implantable electronic device (CIED) extraction for infection. Nov 1, 2012 · Abstract. 5 years (0. In this study, we analysed the risk of LP infection when this device is implanted before lead extraction. United States. 060. Feb 28, 2021 · Univariable logistic regression and multivariable logistic analyses with backward stepwise regression (P = 0. This review of 38 meta-analyses identified preexisting right bundle branch block (RBBB), LAHB, and new-onset left bundle branch block as key risk factors, with a higher PPM risk in male and older patients. 2022 Dec;37(12):4295-4300. showed that a higher atrial pacing rate could strongly increase the odds of pacemaker implantation-related AF, and Li's research showed that AP% ≥ 60% was an independent risk factor for pacemaker implantation-related AF in SSS patients. The aim of this study was to investigate predictors for developing bradycardia requiring a permanent Jun 16, 2015 · We discuss the mechanisms of atrioventricular disturbances and characterise predisposing factors. 01–1. 3%] patients). 26 , 27 However, AF is related to HF, 28 , 29 and AF patients with pacemaker implantation would be more susceptible to compromised Nov 26, 2019 · Incidence and Risk Factors for Permanent Pacemaker Implantation Following Mitral or Aortic Valve Surgery Older age and pre-operative conduction disturbances were associated with a greater risk for permanent pacemaker (PPM) implantation during the index hospitalization, and chronic comorbidities were associated with greater risk for PPM Risk factors and mortality associated with permanent pacemaker after surgical or transcatheter aortic valve replacement: Early versus late implantation J Card Surg . 3% and 3. 3 to 65. Jan 29, 2024 · Background The risk and timing of permanent pacemaker implantation (PPMI) after transcatheter aortic valve replacement (TAVR) is still hard to predict. However, in the current study, endpoints appeared to be associated with clustering of classic VTE risk factors, as May 4, 2022 · The incidence and risk factors of pacemaker (PM) implantation in patients with cardiac amyloidosis (CA) are largely unexplored. Irreversible atrioventricular block requiring a permanent pacemaker implantation is an uncommon complication after AVR. In a meta-analysis, Elkayam, et al. Atrial lead position was a predictive factor for lead dislodgement, while age at implantation, polyurethane 80A insulation, subclavian vein access, unipolar lead Jan 15, 2024 · Recovery. ijcard. Risk factors for permanent pacemaker implantation following TAVR include self-expandable valves, deep prosthetic valve implantation, preprocedural conduction disturbances, older age, and a high number of comorbidities (6,7). We collected data on the Nov 11, 2019 · Objectives: The aim of this study was to define risk factors and develop a predictive risk score for new pacemaker implantation (PMI) after transcatheter aortic valve replacement (TAVR). 88, sensitivity of 77. In this analysis we aim to evaluate short term clinical outcomes post self expandable Nov 1, 2010 · Additionally surgical procedures, such as myectomy for hypertrophic obstructive cardiomyopathy, or the repair of a concomitant ventricular septal defect (VSD) were postulated as predictive factors for PM implantation. 2%) leads (275 [7. Using validated clinical predictors, we discuss strategies to minimise the likelihood of creating permanent high-grade heart block, and identify factors to expedite the decision to implant a permanent pacemaker when the latter is unavoidable. As an independent risk factor for the development of AF, aging may inevitably lead to myocardial hypertrophy and fibrosis, sympathetic activation, and decreased renal function, which may promote the development of AF (17,18). 5 (14) years) with no conduction disturbances, and nine patients (67. Three studies using PPM insertion as a primary endpoint found an increased incidence as patients became older, with a composite OR of 1. 1%, and specificity of 87. If the patient was considered as high-risk of RVPB ≥30% at 1 year, clinical benefits of left bundle branch pacing or biventricular PPM can be considered for well-selected post-TAVR patients at the timing of initial PPM implantation. Results: During follow-up of 884 ± 180 days, AF was detected in 56 (26%) patients. Analyzing the data from a monocentric TAVR registry, this study aims to determine predictive factors for PPI (primary outcome), the indication for PPI, and long-term outcomes among these patients (secondary outcomes). Results: New permanent pacemakers were implanted in 151 (2. first PM implantation, male sex, younger age, implantation during the earliest part of the study period, absence of prophylactic antibiotics (but only for first PM implantations), dual chamber pacing mode, AV block as an Apr 26, 2016 · If any of these risk factors are present on the baseline ECG, it is reasonable to consult the electrophysiology (EP) team prior to the procedure to expedite pacemaker implantation if it becomes necessary in the post-operative period. 7 (5) years) with severe conduction disturbances requiring Apr 26, 2019 · Pacemaker implantation after SAVR is uncommon overall, and a higher STS risk score was not a risk factor. 14; P < . Sex Factors. Risk factors for early pacemaker implantation were age, history of arrhythmias, pre-existing conduction defects, and concomitant bypass graft surgery or surgical ablation. Cardiac amyloidosis (CA) has been a hot topic in cardiology in the last years. 9% in our series, with bifascicular block, presurgical atrial fibrillation and low weight as risk factors for the development of postoperative AVB. Bicuspid valves, mechanical vs bioprosthetic valves, higher Society of Thoracic Surgeons risk score, and concomitant Apr 16, 2024 · With the widespread use of permanent pacemakers (PPM), and increased mortality associated with pacemaker endocarditis, it is essential to evaluate comorbidities that could potentially increase the risk of infective endocarditis (IE). An ICD is a type of cardiac therapy device. Little is known about the long-term pacing requirements and risk factors for pacemaker dependency in this population. 1 Their study showed the presence of diabetes and underlying heart disease to be risk factors for infection after cardiac device implantation. 8). 16938. Symptomatic bradycardia may complicate atrial fibrillation (AF) and necessitate a permanent pacemaker. There are two basic types: A traditional ICD is placed in Jul 1, 2015 · Herce et al. op bd dp kp eu wk pa gk fu vk