{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T05:17:12Z","timestamp":1775107032481,"version":"3.50.1"},"reference-count":34,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T00:00:00Z","timestamp":1770595200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T00:00:00Z","timestamp":1770595200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Permanent pacemaker implantation (PPMI) remains a common complication after transcatheter aortic valve implantation (TAVI). While the RITMO score\u2014incorporating right bundle branch block (RBBB), membranous septum length (MSL), and aortic valve calcium load\u2014was developed for self\u2010expanding valves, its performance in balloon\u2010expandable valves (BEVs) is uncertain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To evaluate the incidence and predictors of PPMI following balloon\u2010expandable TAVI and to assess the applicability of the RITMO score in this valve platform.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>We retrospectively analyzed 310 patients who underwent TAVI with balloon\u2010expandable Edwards Sapien valves. Baseline clinical, electrocardiographic, and MSCT data were collected, and the RITMO score was calculated for all. Independent predictors were identified using multivariable logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      PPMI occurred in 34 patients (10.9%). Compared with the non\u2010PPMI group, those requiring PPMI had significantly higher rates of baseline RBBB (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), shorter MSL (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002), and elevated Agatston calcium scores (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001). In multivariable analysis, RBBB (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), short MSL (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002), and high Agatston score (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.009) were independent predictors. Patients in the RITMO high\u2010risk category (&gt;\u20091) had a 12.3\u2010fold higher likelihood of requiring PPMI compared with the low\u2010risk group (OR: 12.3, 95% CI: 5.6\u201327.3). The RITMO score demonstrated strong discriminatory performance (AUC: 0.839, 95% CI: 0.769\u20130.909,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The RITMO score is a valid and effective tool for predicting PPMI after BEV\u2010TAVI. Its simplicity and applicability support its use in procedural planning and early risk stratification, independent of valve type.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.70513","type":"journal-article","created":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T03:56:23Z","timestamp":1770695783000},"page":"1456-1465","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Incidence and Predictors of Permanent Pacemaker Implantation After Balloon\u2010Expandable TAVI: Applicability of the RITMO Score"],"prefix":"10.1002","volume":"107","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8997-9240","authenticated-orcid":false,"given":"Hakan","family":"S\u00fcyg\u00fcn","sequence":"first","affiliation":[{"name":"Department of Cardiology, Faculty of Medicine Karamano\u011flu Mehmetbey University Karaman Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Engin","family":"Bozkurt","sequence":"additional","affiliation":[{"name":"Department of Cardiology Medicana International Ankara Hospital Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,9]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehab395"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1816885"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2025.03.028"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1814052"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2018.10.053"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcmg.2016.11.020"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2019.07.015"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.108.191095"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/eht150"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euab232"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehaa799"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcct.2022.07.003"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcmg.2017.05.007"},{"key":"e_1_2_8_15_1","volume-title":"SPSS for Windows Step by Step: A Simple Study Guide and Reference","author":"George D.","year":"2011"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-16-00103"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehx785"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2015.05.010"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2014.07.022"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.117.028352"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2016.08.034"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2015.02.005"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcmg.2015.12.022"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjci\/jex333"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-17-00567"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2021.10.002"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.5114\/aic.2024.142240"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.124.070753"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-18-01060"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1514616"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1103510"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2015.09.036"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1080\/14017431.2025.2481175"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.04.033"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.124.039036"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70513","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.70513","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70513","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T03:48:19Z","timestamp":1775101699000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.70513"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,9]]},"references-count":34,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1002\/ccd.70513"],"URL":"https:\/\/doi.org\/10.1002\/ccd.70513","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,9]]},"assertion":[{"value":"2025-08-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}