Incidence of permanent pacemaker implantation after valve replacement surgery: Cardiac structure and function at 1-year follow-up

Background Our study aimed to explore the incidence and risk factors of permanent pacemaker implantation (PPI) after valve replacement surgery (VR). The influence of long-term pacemaker dependency on cardiac structure and function at the 1‑year follow-up was also assessed. Methods The demographic an...

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Bibliographic Details
Published in:Herz 2021-04, Vol.46 (Suppl 1), p.109-114
Main Authors: Song, Jiahui, Liang, Zhuo, Wang, Yunlong, Han, Zhihong, Ren, Xuejun
Format: Article
Language:English
Subjects:
Aortic Valve - diagnostic imaging
Aortic Valve - surgery
Aortic Valve Stenosis
Cardiac Pacing, Artificial
Cardiology
Follow-Up Studies
Heart Valve Prosthesis
Humans
Incidence
Internal Medicine
Medicine
Medicine & Public Health
Original Articles
Pacemaker, Artificial
Retrospective Studies
Risk Factors
Treatment Outcome
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Summary:Background Our study aimed to explore the incidence and risk factors of permanent pacemaker implantation (PPI) after valve replacement surgery (VR). The influence of long-term pacemaker dependency on cardiac structure and function at the 1‑year follow-up was also assessed. Methods The demographic and surgical data of all consecutive patients who underwent VR between 2013 and 2016 were collected. Univariate and multivariate analyses were performed to identify variables independently associated with PPI after VR. A 1‑year follow-up was undertaken of patients who underwent dual-chambers pacemaker after VR because of complete atrioventricular block (AVB). Long-term pacemaker dependency and recovery of cardiac structure and function were evaluated. Results There were 5320 consecutive patients with VR. The incidence of postoperative PPI was 2.42%. Multivariate analysis indicated that among the 62 patients who underwent PPI due to AVB and sick sinus syndrome, isolated aortic valve replacement (AVR; OR: 2.24, p  
ISSN:0340-9937
1615-6692
DOI:10.1007/s00059-020-04895-2