Long Beach Veteran's Administration Medical Center, Long Beach, California.
Catheter Cardiovasc Interv. 2019 Feb 15;93(3):E200-E201. doi: 10.1002/ccd.28000.
TAVR patients given pacemakers operating in mandatory DDD mode had more ventricular pacing, heart failure hospitalization, and mortality compared with AAI-DDD or VVI modes. AV conduction disturbances are often transient after TAVR. Minimizing ventricular pacing where possible avoids the risk of pacemaker-induced cardiomyopathy. Pacemaker specialists should be consulted for any TAVR patient with mild rhythm abnormalities given the high incidence of AV block.
与 AAI-DDD 或 VVI 模式相比，接受 TAVR 并使用强制 DDD 模式起搏器的患者心室起搏更多、心力衰竭住院和死亡率更高。TAVR 后房室传导障碍通常是短暂的。尽可能减少心室起搏可避免起搏器引起的心肌病风险。鉴于高度房室传导阻滞的发生率，对于任何节律异常的 TAVR 患者，都应咨询起搏器专家。
