Utility of rapid atrial pacing before and after transcatheter aortic valve replacement to predict permanent pacemaker implantation: A valuable piece of the puzzle?

Abstract

Key points In patients who underwent transcatheter aortic valve replacement (TAVR) with a balloon‐expandable valve, there were no statistically significant differences in permanent pacemaker (PPM) implantation rates at 30 days between patients with and without rapid atrial pacing‐induced AV Wenckebach. Rapid atrial pacing‐induced AV Wenckebach may signal potential conduction disturbances but is not an independent predictor of PPM after TAVR. A large prospective study is warranted to further evaluate whether rapid atrial‐pacing‐induced AV Wenckebach improves risk stratification regarding the need for PPM after TAVR.