经导管主动脉瓣置换术后随时间变化的传导动力学：专家点评。

IF 1.6 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Cardiovascular Revascularization Medicine Pub Date : 2024-08-16 DOI:10.1016/j.carrev.2024.08.005

Herbert G Kroon, Thijmen Hokken, Maarten van Wiechen, Joris F W Ooms, Lennart van Gils, Isabella Kardys, Joost Daemen, Peter P T De Jaegere, Rutger-Jan Nuis, Nicolas M Van Mieghem

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引用次数: 0

摘要

在目前的经导管主动脉瓣置换术（TAVR）时代，新的传导障碍仍然是一种常见的并发症。左束支传导阻滞（LBBB）在大约20%-30%的TAVR患者中早期出现，大约35%-45%的病例在1个月后持续存在，并且可能会一直存在。约15%的患者会出现三度房室传导阻滞（AV3B）。起搏器依赖性在随访过程中逐渐降低，大约 25%-35% 的患者在一年后仍然依赖起搏器。我们旨在回顾目前对获得性传导障碍动态变化的了解，包括提取预测因素，以及如何根据早期出院政策解释这些动态变化。

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Conduction dynamics over time after transcatheter aortic valve replacement: An expert review.

New conduction disorders remain a frequent complication in current transcatheter aortic valve replacement (TAVR) era. Left bundle branch block (LBBB) occurs early in about 20-30 % of TAVR-patients, persists at 1 month in about 35-45 % of cases and will likely remain thereafter. Third-degree atrioventricular block (AV3B) affects approximately 15 % of patients. Pacemaker dependency gradually decreases throughout follow-up and approximately 25-35 % of patients remain pacemaker dependent at one year. We aimed to review what is currently known about the dynamics of acquired conduction disorders, including extraction of predictors, and how to interpret these dynamics in light of an early discharge policy.

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来源期刊

Cardiovascular Revascularization Medicine CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

3.30

自引率

5.90%

发文量

687

审稿时长

36 days

期刊介绍： Cardiovascular Revascularization Medicine (CRM) is an international and multidisciplinary journal that publishes original laboratory and clinical investigations related to revascularization therapies in cardiovascular medicine. Cardiovascular Revascularization Medicine publishes articles related to preclinical work and molecular interventions, including angiogenesis, cell therapy, pharmacological interventions, restenosis management, and prevention, including experiments conducted in human subjects, in laboratory animals, and in vitro. Specific areas of interest include percutaneous angioplasty in coronary and peripheral arteries, intervention in structural heart disease, cardiovascular surgery, etc.