Incidence of permanent pacemaker implantation after valve replacement surgery

Song, Jiahui; Liang, Zhuo; Wang, Yunlong; Han, Zhao; Ren, Xuejun

doi:10.1007/s00059-020-04895-2

Cited by 3 publications

(5 citation statements)

References 21 publications

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“…Existing literature reports variable postoperative PPM requirements for cardiac surgery patients and incidence ranges from approximately 1% to 10%. 6 , 7 , 9 , 10 , 15 Importantly, surgery type plays an significant role in determining the associated risk of pacemaker placement. 6 , 10 Recent large studies 1 , 16 , 17 report the incidence of postoperative PPM implantation ranging from 1.2% to 3.2%, although patient cohorts were largely composed of isolated aortic valve replacement 16 , 17 and isolated CABG procedures were included.…”

Section: Discussionmentioning

confidence: 99%

Permanent pacemaker placement following valve surgery is not independently associated with worse outcomes

et al. 2021

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Section: Discussionmentioning

confidence: 99%

Permanent pacemaker placement following valve surgery is not independently associated with worse outcomes

et al. 2021

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“…comorbidities and age was observed [6,7]. Moreover, there has been no focus on type of surgery, namely single-valve or multi-valve surgery [8][9][10][11][12][13][14][15][16][17].…”

Section: Methodsmentioning

confidence: 99%

“…As a result of these observations, it is possible to assume that AVB requiring PM therapy may occur even after several years, but it is unclear which type of valvular surgery is related to the highest risk of PM implantation [8][9][10][11]13,14].…”

Section: Of 12mentioning

confidence: 99%

“…These latter studies reported the highest PM implantation incidence but have some limitations: there was no evaluation of preoperative electrocardiographic data, and considerable variability in terms of comorbidities and age was observed [6,7]. Moreover, there has been no focus on type of surgery, namely single-valve or multi-valve surgery [8][9][10][11][12][13][14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

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Long-Term Atrioventricular Block Following Valve Surgery: Electrocardiographic and Surgical Predictors

Farina,

Biffi,

Folesani

et al. 2024

JCM

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Background: Bradyarrhythmia requiring pacemaker implantation among patients undergoing valve surgery may occur even after several years, with unclear predictors. Our aim was to investigate the incidence of pacemaker implantation at different follow-up times and identify associated predictors. Methods: We conducted a retrospective study evaluating 1046 consecutive patients who underwent valve surgery at the Cardiac Surgery Division of Bologna University Hospital from 2005 to 2010. Results: During 10 ± 4 years of follow-up, 11.4% of these patients required pacemaker implantation. Interventions on both atrioventricular valves independently predicted long-term pacemaker implantation (SHR 2.1, 95% CI 1.2–3.8, p = 0.014). Preoperative atrioventricular conduction disease strongly predicted long-term atrioventricular block, with right bundle branch block as the major predictor (SHR 7.0, 95% CI 3.9–12.4, p < 0.001), followed by left bundle branch block (SHR 4.9, 95% CI 2.4–10.1, p < 0.001), and left anterior fascicular block (SHR 3.9, 95% CI 1.8–8.3, p < 0.001). Conclusion: Patients undergoing valvular surgery have a continuing risk of atrioventricular block late after surgery until the 12-month follow-up, which was clearly superior to the rate of atrioventricular block observed at long-term. Pre-operative atrioventricular conduction disease and combined surgery on both atrioventricular valves are strong predictors of atrioventricular block requiring pacemaker implantation.

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“…У більшості таких хворих не відновлювалися порушення АВ-провідності після протезування клапана, тому була необхідна імплантація ПКС. Автори рекомендували проводити ранні імплантації ПКС, щоб зменшити ризик ускладнень та раптової смерті [44].…”

Section: предиктори виникнення порушень провідності серця в пацієнтів...unclassified

Predictors of cardiac conduction disorders in patients after aortic valve replacement

Zaretskyi,

Todurov,

Grytsay

et al. 2023

CSIC

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Aortic valve replacement (AVR) is the only effective method of treating aortic stenosis. However, the increasing age of operated patients also increases the surgical risks. The most common complications after aortic valve surgery are similar to those of other cardiac surgeries which include: stroke, deep sternal wound infection, re-operation due to bleeding, myocardial infarction (1–5 %). Cardiac arrhythmias that appear after AVR surgery and require permanent pacemaker (PPM) implantation arise in connection with the anatomical features of the aortic valve, its pathological changes, and traumatic intervention during valve defect correction. A large number of single-center, and a few multi-center studies have been conducted to identify risk factors that could serve as predictors of need in PPM implantation after AVR. Further research in this direction is relevant. Currently there are no clear criteria allowing to identify patients with need for preventive PPM implantation before the AVR surgery due to the high probability of cardiac conduction disorders in the postoperative period. This might reduce the number of complications and reduce the length of a patient’s stay in a hospital.

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Incidence of permanent pacemaker implantation after valve replacement surgery

Cited by 3 publications

References 21 publications

Permanent pacemaker placement following valve surgery is not independently associated with worse outcomes

Permanent pacemaker placement following valve surgery is not independently associated with worse outcomes

Long-Term Atrioventricular Block Following Valve Surgery: Electrocardiographic and Surgical Predictors

Predictors of cardiac conduction disorders in patients after aortic valve replacement

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