RT Journal Article
T1 Clinical Impact of Baseline Right Bundle Branch Block in Patients Undergoing Transcatheter Aortic Valve Replacement.
A1 Auffret, Vincent
A1 Webb, John G
A1 Eltchaninoff, Hélène
A1 Muñoz-García, Antonio J
A1 Himbert, Dominique
A1 Tamburino, Corrado
A1 Nombela-Franco, Luis
A1 Nietlispach, Fabian
A1 Morís, César
A1 Ruel, Marc
A1 Dager, Antonio E
A1 Serra, Vicenç
A1 Cheema, Asim N
A1 Amat-Santos, Ignacio J
A1 de Brito, Fábio Sandoli
A1 Lemos, Pedro Alves
A1 Abizaid, Alexandre
A1 Sarmento-Leite, Rogério
A1 Dumont, Eric
A1 Barbanti, Marco
A1 Durand, Eric
A1 Alonso Briales, Juan H
A1 Vahanian, Alec
A1 Bouleti, Claire
A1 Immè, Sebastiano
A1 Maisano, Francesco
A1 Del Valle, Raquel
A1 Benitez, Luis Miguel
A1 García Del Blanco, Bruno
A1 Puri, Rishi
A1 Philippon, François
A1 Urena, Marina
A1 Rodés-Cabau, Josep
K1 outcomes
K1 permanent pacemaker implantation
K1 right bundle branch block
K1 sudden cardiac death
K1 transcatheter aortic valve replacement
AB This study sought to assess the influence of baseline right bundle branch block (RBBB) on all-cause and cardiovascular mortality as well as sudden cardiac death (SCD) among patients undergoing transcatheter aortic valve replacement (TAVR). Few data exist regarding the late clinical impact of pre-existing RBBB in TAVR recipients. A total of 3,527 patients (mean age 82 ± 8 years, 50.1% men) were evaluated according to the presence of RBBB on baseline electrocardiography. Intraventricular conduction abnormalities were classified according to the American Heart Association, American College of Cardiology Foundation, and Heart Rhythm Society recommendations for standardization and interpretation of the electrocardiogram. TAVR complications and causes of death were defined according to Valve Academic Research Consortium 2 definitions. RBBB was present on baseline electrocardiography in 362 patients (10.3%) and associated with higher 30-day rates of permanent pacemaker implantation (PPI) (40.1% vs. 13.5%; p  Pre-existing RBBB was found in 10% of TAVR recipients and was associated with poorer clinical outcomes. Patients with baseline RBBB without permanent pacemakers at hospital discharge may be at especially high risk for high-degree atrioventricular block and/or SCD during follow-up. Future studies should evaluate strategies aimed at the early detection of patients at risk for late development of high-degree atrioventricular block.
YR 2017
FD 2017-07-19
LK http://hdl.handle.net/10668/11432
UL http://hdl.handle.net/10668/11432
LA en
DS RISalud
RD Apr 5, 2025