Electrocardiographic changes and conduction disturbances after transfemoral aortic valve implantation with Edwards Sapien 3 prosthesis

被引：10

作者：

Leire, Unzue ^{[1
]}

Eulogio, Garcia ^{[1
]}

Francisco Jose, Rodriguez Rodrigo ^{[2
]}

Francisco Javier, Parra Jimenez ^{[2
]}

Peralta Juan, Medina ^{[2
]}

Belen, Diaz-Anton ^{[3
]}

del Rio Miguel, Rodriguez ^{[4
]}

Adolfo, Fontenla ^{[5
]}

Rodrigo, Teijeiro ^{[1
]}

Belen, Rubio-Alonso ^{[2
]}

机构：

[1] Hosp Univ HM Monteprincipe, Intervent Cardiol Dept, Ave Monteprincipe 25, Madrid 28668, Spain

[2] Hosp Univ HM Monteprincipe, Clin Cardiol Dept, Madrid, Spain

[3] Hosp Univ HM Monteprincipe, Cardiac Imaging Unit, Madrid, Spain

[4] Hosp Univ HM Monteprincipe, Anaesthesiol Dept, Madrid, Spain

[5] Hosp Univ 12 Octubre, Electrophysiol Dept, Madrid, Spain

来源：

JOURNAL OF ELECTROCARDIOLOGY | 2018年 / 51卷 / 03期

关键词：

Conduction disturbances; TAVI; Edwards SAPIEN prosthesis; PERMANENT PACEMAKER; TRANSCATHETER; PREDICTORS; BLOCK; RISK; REPLACEMENT; MANAGEMENT;

D O I：

10.1016/j.jelectrocard.2018.02.009

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objectives: The aim of this study is to describe electrocardiographic changes and conduction abnormalities in patients undergoing transcatheter aortic valve implantation (TAVI). Methods: 76 patients who underwent TAVI using Edwards Sapien 3 prosthesis were included, comparing electrocardiographic registries at admission, post-procedure and before discharge. Results: Patients after TAVI presented a longer PR interval, a wider QRS, and a longer corrected QT, with a left deviation of QRS axis and T waves: reversible changes that tended to correct in the following days after TAVI. Complete atrioventricular block incidence was 2.9%. New-onset left bundle branch block (LBBB) incidence was 39%, although solved in almost half of patients before discharge. Conclusions: TAVI was associated with different reversible electrocardiographic changes that suggest a transient impact on the conduction system. One of every five patients presented permanent LBBB after valve implant. (C) 2018 Elsevier Inc. All rights reserved.

引用

页码：416 / 421

页数：6

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