Ventricular arrhythmias before and late after aortic valve replacement

Olshausen, K. v.; Amann, E; Hofmann, Manfred; Schwarz, Franz; Mehmel, H. C.; Kübler, W.

doi:10.1016/0002-9149(84)90319-9

Cited by 18 publications

(3 citation statements)

References 17 publications

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“…The incidence of such ventricular arrhythmias has been previously described to be high in patients presenting with severe AS,79 whereas non-sustained ventricular arrhythmias appear to be an indicator of underlying left ventricular pathology 80. Even though ventricular arrhythmias may have various clinical presentations from completely asymptomatic episodes to haemodynamic collapse and sudden cardiac death, the independent prognostic value of such non-sustained ventricular arrhythmias in ambulatory ECG monitoring post-TAVI remains unclear.…”

Section: Discussionmentioning

confidence: 99%

New-onset arrhythmias following transcatheter aortic valve implantation: a systematic review and meta-analysis

Siontis

Praz

Lanz

et al. 2017

Heart

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Section: Discussionmentioning

confidence: 99%

New-onset arrhythmias following transcatheter aortic valve implantation: a systematic review and meta-analysis

Siontis

Praz

Lanz

et al. 2017

Heart

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“…The correlation between VTa and left ventricular (LV) dysfunction in patients with VHD has also been reported in several studies (21)(22)(23)(24)(25)(26)(27). Chronic pressure or volume overload of the myocardium could increase ventricular wall stress and structural remodeling, which subsequently enhances the formation of arrhythmogenic substrates even after surgical valve replacement, despite the fact that regression of ventricular arrhythmia in consonance with the improvement of LV systolic function has been reported after valve replacement (28)(29)(30).…”

Section: Ventricular Tachyarrhythmias In Patients Undergoing Surgical Valve Replacementmentioning

confidence: 85%

Clinical Significance of Ventricular Tachyarrhythmias in Patients Undergoing Valve Replacement: A Nationwide Population-Based Study

Chen

Chien

et al. 2021

Front. Cardiovasc. Med.

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Background: The clinical significance and outcomes of ventricular tachyarrhythmias (VTa) in patients undergoing valve replacement have rarely been reported.Objective: This study aimed to investigate the incidence and outcome of VTa after surgical valve replacement.Methods: We conducted a population-based retrospective cohort study using data obtained from the Taiwan National Health Insurance Research Database. In total, 10,212 patients were selected after 1:1 propensity-score matching based on the type of prosthetic valve used (mechanical vs. bioprosthetic). Various outcomes during long-term follow-up were analyzed.Results: After a median follow-up period of 59.6 months, the crude incidence rate of VTa after surgical valve replacement was 4.8/1,000 person-years, and the cumulative incidence of VTa persistently increased after surgery. Furthermore, the occurrences of VTa after valve replacement significantly increased the risk of cardiovascular (CV) death (P < 0.001, HR 1.67, 95% CI 1.41–1.96), stroke- (P < 0.001, HR 1.66, 95% CI 1.37–2.01), atrial fibrillation- (P < 0.001, HR 2.80, 95% CI 2.42–3.24), and congestive heart failure-related hospitalization (P < 0.001, HR 2.61, 95% CI 2.30–2.95). Among patients with VTa, all-cause mortality (P = 0.001, HR 0.49, 95% CI 0.32–0.75) and CV death (P = 0.047, HR 0.58, 95% CI 0.34–0.99) in those with implantable cardioverter-defibrillator (ICD) implantation were lower than those without.Conclusion: The crude incidence rate of VTa after surgical valve replacement was 4.8/1,000 person-years, and the cumulative incidence of VTa persistently increased during follow-up. The presence of VTa after surgical valve replacement increases hospitalization and CV death, while ICD implantation reduced the mortality rate in these patients.

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“…For those who have undergone surgical valve replacement for AS, a strong relationship has been observed between complex ventricular arrhythmias and left ventricular performance [5]. A trend toward decreased frequency and complexity of ventricular arrhythmias has been observed when valve replacement is followed by a marked improvement of left ventricular systolic function [6]. One study showed a 43% reduction in the left ventricular mass within the first 2 years post-surgery, contributing to a decreased vulnerability to ventricular arrhythmias [7].…”

Section: Discussionmentioning

confidence: 99%

Recurrent ventricular tachycardia from severe aortic stenosis improves after percutaneous aortic balloon valvuloplasty and transcatheter aortic valve replacement

Calle-Muller

Rabbani

Khan

et al. 2014

Journal of Cardiology Cases

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We report a case of recurrent ventricular tachycardia from severe aortic stenosis that improved after percutaneous aortic balloon valvuloplasty and transcatheter aortic valve replacement. The electrocardiographic features of the arrhythmia were compatible with ventricular tachycardia originating from the left ventricle. Myocardial ischemia and electrolyte abnormalities were ruled out. Clinicians should be aware that recurrent left ventricular tachycardia associated with severe aortic stenosis is a potentially reversible condition by transcatheter intervention.

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Ventricular arrhythmias before and late after aortic valve replacement

Cited by 18 publications

References 17 publications

New-onset arrhythmias following transcatheter aortic valve implantation: a systematic review and meta-analysis

New-onset arrhythmias following transcatheter aortic valve implantation: a systematic review and meta-analysis

Clinical Significance of Ventricular Tachyarrhythmias in Patients Undergoing Valve Replacement: A Nationwide Population-Based Study

Recurrent ventricular tachycardia from severe aortic stenosis improves after percutaneous aortic balloon valvuloplasty and transcatheter aortic valve replacement

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