Abstract
Increasing attention has been paid to the issue of permanent pacemaker implantation in the transcatheter aortic valve replacement (TAVR) era. Postprocedure rates of heart block requiring permanent pacemaker implantation have consistently been higher among TAVR-treated patients as compared with patients who undergo surgical aortic valve replacement (SAVR), and permanent pacemaker implantation is associated with worse long-term outcomes.1,2 Permanent pacemaker implantation after SAVR occurs in 1% to 5% of patients, and preoperative risk factors include preexisting conduction abnormalities (bundle branch blocks, atrioventricular blocks), endocarditis, prosthetic valve dysfunction, previous myocardial infarction, aortic regurgitation, female sex, and bicuspid aortic valve.
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