George B Black, Joshua H Kim, Sophie Vitter, Rand Ibrahim, John C Lisko, Emily Perdoncin, Nikoloz Shekiladze, Patrick T Gleason, Kendra J Grubb, Adam B Greenbaum, Chandan M Devireddy, Robert A Guyton, Bradley Leshnower, Faisal M Merchant, Mikhael El-Chami, Stacy B Westerman, Anand D Shah, Angel R Leon, Michael S Lloyd, Vasilis C Babaliaros, Soroosh Kiani
INTRODUCTION: The need for pacemaker is a common complication after transcatheter aortic valve replacement (TAVR). We previously described the Emory Risk Score (ERS) to predict the need for new pacemaker implant (PPM) after TAVR. Metrics included in the score are a history of syncope, pre-existing RBBB, QRS duration ≥140 ms, and prosthesis oversizing ≥16%. To prospectively validate the previously described risk score. METHODS: We prospectively evaluated all patients without pre-existing pacemakers, ICD, or pre-existing indications for pacing undergoing TAVR with the Edwards SAPIEN 3 prosthesis at our institution from March 2019 to December 2020 (n = 661)...
September 13, 2023: Journal of Cardiovascular Electrophysiology