{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T20:22:46Z","timestamp":1777580566361,"version":"3.51.4"},"reference-count":11,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T00:00:00Z","timestamp":1638316800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The purpose of this study is to assess the utility of ambulatory cardiac monitoring (ACM) in detecting delayed advanced conduction abnormalities (DACA) and associated 30\u2010day mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>DACA are well\u2010known complications of TAVR and may be associated with post\u2010discharge mortality within 30\u2010days.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between October 2019 and October 2020, TAVR patients who were discharged home without a permanent pacemaker (PPM) were monitored with an ACM device for 14\u2010days. The incidence of DACA at follow up, mortality and readmission within 30\u2010days were investigated. The risk of DACA was assessed in three patient categories based on a composite of their 12\u2010lead electrocardiogram (ECG) data. Group I: Normal pre\u2010TAVR, periprocedural, and discharge ECGs. Group II: Normal pre\u2010TAVR and abnormal subsequent ECGs. Group III. Abnormal baseline and abnormal subsequent ECGs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 340 TAVR patients, 248 were discharged home with an ACM device. The overall incidence of DACA was 7% (<jats:italic>n\u2009=<\/jats:italic>\u00a017), of whom 4% (<jats:italic>n\u2009=<\/jats:italic>\u00a010) required a PPM. Mortality and readmission between discharge and 30\u2009days was 0% and 8.3%, respectively. Stratification of patients identified 96 (38.7%) patients in Group I: 50 (20%) in Group II, and 102 (41%) in Group III. The incidence of DACA requiring a PPM was 0% in Group I, 4% (<jats:italic>n\u2009=<\/jats:italic>\u00a02) in Group II, and 8.5% (<jats:italic>n\u2009=<\/jats:italic>\u00a08) in Group III (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.004).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In TAVR patients who were discharged home with ACM, none died between discharge and 30\u2010days. For those with normal baseline, perioperative and discharge ECG, there were no events of DACA at 14\u2010days.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.30027","type":"journal-article","created":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T15:55:15Z","timestamp":1638374115000},"page":"1243-1250","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Utilizing ambulatory electrocardiogram monitoring to reduce conduction related death after transcatheter aortic valve replacement"],"prefix":"10.1002","volume":"99","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8890-3332","authenticated-orcid":false,"given":"Alexis K.","family":"Okoh","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Cardiac Surgery Robert Wood Johnson University Hospital  New Brunswick New Jersey USA"},{"name":"Rutgers Robert Wood Johnson University Medical School  New Brunswick New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chunguang","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Cardiac Surgery Robert Wood Johnson University Hospital  New Brunswick New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Kassotis","sequence":"additional","affiliation":[{"name":"Rutgers Robert Wood Johnson University Medical School  New Brunswick New Jersey USA"},{"name":"Department of Medicine, Division of Cardiology Robert Wood Johnson University Hospital  New Brunswick New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fady","family":"Soliman","sequence":"additional","affiliation":[{"name":"Rutgers Robert Wood Johnson University Medical School  New Brunswick New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kush","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology Robert Wood Johnson University Hospital  New Brunswick New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy","family":"Sohitliv","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology Robert Wood Johnson University Hospital  New Brunswick New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amandeep","family":"Loi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Cardiac Surgery Robert Wood Johnson University Hospital  New Brunswick New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meghan","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Cardiac Surgery Robert Wood Johnson University Hospital  New Brunswick New Jersey USA"},{"name":"Rutgers Robert Wood Johnson University Medical School  New Brunswick New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Pineda\u2010Salazar","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Cardiac Surgery Robert Wood Johnson University Hospital  New Brunswick New Jersey USA"},{"name":"Rutgers Robert Wood Johnson University Medical School  New Brunswick New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashok","family":"Chaudhary","sequence":"additional","affiliation":[{"name":"Rutgers Robert Wood Johnson University Medical School  New Brunswick New Jersey USA"},{"name":"Department of Medicine, Division of Cardiology Robert Wood Johnson University Hospital  New Brunswick New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5529-493X","authenticated-orcid":false,"given":"Bobby D.","family":"Ghosh","sequence":"additional","affiliation":[{"name":"Rutgers Robert Wood Johnson University Medical School  New Brunswick New Jersey USA"},{"name":"Department of Medicine, Division of Cardiology Robert Wood Johnson University Hospital  New Brunswick New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdul","family":"Hakeem","sequence":"additional","affiliation":[{"name":"Rutgers Robert Wood Johnson University Medical School  New Brunswick New Jersey USA"},{"name":"Department of Medicine, Division of Cardiology Robert Wood Johnson University Hospital  New Brunswick New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonard Y.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Cardiac Surgery Robert Wood Johnson University Hospital  New Brunswick New Jersey USA"},{"name":"Rutgers Robert Wood Johnson University Medical School  New Brunswick New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Coromilas","sequence":"additional","affiliation":[{"name":"Rutgers Robert Wood Johnson University Medical School  New Brunswick New Jersey USA"},{"name":"Department of Medicine, Division of Cardiology Robert Wood Johnson University Hospital  New Brunswick New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark J.","family":"Russo","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Cardiac Surgery Robert Wood Johnson University Hospital  New Brunswick New Jersey USA"},{"name":"Rutgers Robert Wood Johnson University Medical School  New Brunswick New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,12]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1816885"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrcardio.2017.116"},{"issue":"54","key":"e_1_2_8_4_1","first-page":"13","article-title":"Optimising patient discharge management after transfemoral transcatheter aortic valve implantation: the multicentre European FAST\u2010TAVI trial","volume":"15","author":"Barbanti M","year":"2019","journal-title":"EuroIntervention"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2018.11.015"},{"key":"e_1_2_8_6_1","unstructured":"TAVR Update: New Insights and Perspectives from the U.S. National STS\/ACC TVT 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