{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T01:11:28Z","timestamp":1789089088008,"version":"build-2803163510"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2022,6,14]],"date-time":"2022-06-14T00:00:00Z","timestamp":1655164800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Ontario Centres of Excellence \u2013 Health Technology Fund","award":["28952"],"award-info":[{"award-number":["28952"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,10,13]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>The optimal strategy of monitoring for conduction disturbances in patients undergoing transcatheter aortic valve implantation (TAVI) is uncertain. We evaluated a pre- and post-TAVI remote ambulatory cardiac monitoring (rACM) strategy for identification of conduction disturbances and to reduce unplanned pre-discharge post-TAVI permanent pacemaker implantation (PPMI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>REdireCT TAVI (NCT0381820) was a prospective cohort study of patients referred for outpatient TAVI. Patients with prior PPMI were excluded. Remote ambulatory cardiac monitoring consisted of 2 weeks of continuous electrocardiogram (ECG) monitoring (Pocket-ECGTM) both before and after TAVI. Compliance to monitoring, frequency of notifications, unplanned PPMI post-TAVI, and length of hospitalization were measured. Between June 2018 and March 2020, in 192 undergoing TAVI (mean age: 81.8 years; female sex 46%; balloon-expandable valve 95.3%), compliance to rACM was 91.7% pre-TAVI (mean duration: 12.8 days), and 87.5% post-TAVI (mean duration: 12.9 days). There were 24 (12.5%) rACM notifications (13 pre-TAVI; 11 post-TAVI) resulting in 14 (7.3%) planned PPMI: seven pre-TAVI [due to sinus pauses n\u2009=\u20092 or atrio-ventricular block (AVB) n\u2009=\u20095] and seven post-TAVI [due to sinus pauses n\u2009=\u20091 or AVB n\u2009=\u20095 or ventricular tachycardia (VT) n\u2009=\u20091]. In addition, nine (4.7%) patients received pre-TAVI PPMI due to high-risk baseline ECG (right bundle branch block with hemi-block or prolonged PR interval). Unplanned PPMI post-TAVI during index hospitalization occurred in six (3.1%) patients due to AVB and in one patient readmitted with AVB. The median length of stay post-TAVI was 1 day.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A strategy of routine rACM was feasible and frequently led to PPMI. Our approach of 2-week rACM both pre- and post-TAVI achieves both high patient compliance and sufficient surveillance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical trial registration<\/jats:title>\n                    <jats:p>Clinical Trial Registration: https:\/\/clinicaltrials.gov\/ct2\/show\/NCT03810820<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/europace\/euac042","type":"journal-article","created":{"date-parts":[[2022,3,10]],"date-time":"2022-03-10T15:10:49Z","timestamp":1646925049000},"page":"1475-1483","source":"Crossref","is-referenced-by-count":23,"title":["Remote ECG monitoring to reduce complications following transcatheter aortic valve implantations: the Redirect TAVI study"],"prefix":"10.1093","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6372-1348","authenticated-orcid":false,"given":"Madhu Kailash","family":"Natarajan","sequence":"first","affiliation":[{"name":"Hamilton Health Sciences, Population Health Research Institute, McMaster University , Room 508 \u2013 McMaster Clinic, 237 Barton Street East, Hamilton General Hospital, Hamilton, ON , Canada L8L 2X2"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tej Narendra","family":"Sheth","sequence":"additional","affiliation":[{"name":"Hamilton Health Sciences, Population Health Research Institute, McMaster University , Room 508 \u2013 McMaster Clinic, 237 Barton Street East, Hamilton General Hospital, Hamilton, ON , Canada L8L 2X2"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harindra Channa","family":"Wijeysundera","sequence":"additional","affiliation":[{"name":"Schulich Heart Center, Sunnybrook Health Sciences Center, University of Toronto, ICES Toronto , Toronto, ON , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5539-9264","authenticated-orcid":false,"given":"Jorge","family":"Chavarria","sequence":"additional","affiliation":[{"name":"Hamilton Health Sciences, Population Health Research Institute, McMaster University , Room 508 \u2013 McMaster Clinic, 237 Barton Street East, Hamilton General Hospital, Hamilton, ON , Canada L8L 2X2"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josep","family":"Rodes-Cabau","sequence":"additional","affiliation":[{"name":"Quebec Heart and Lung Institute, Laval University , Quebec City, QC , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James Louis","family":"Velianou","sequence":"additional","affiliation":[{"name":"Hamilton Health Sciences, Population Health Research Institute, McMaster University , Room 508 \u2013 McMaster Clinic, 237 Barton Street East, Hamilton General Hospital, Hamilton, ON , Canada L8L 2X2"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sam","family":"Radhakrishnan","sequence":"additional","affiliation":[{"name":"Schulich Heart Center, Sunnybrook Health Sciences Center, University of Toronto, ICES Toronto , Toronto, ON , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toni","family":"Newman","sequence":"additional","affiliation":[{"name":"Hamilton Health Sciences, Population Health Research Institute, McMaster University , Room 508 \u2013 McMaster Clinic, 237 Barton Street East, Hamilton General Hospital, Hamilton, ON , Canada L8L 2X2"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Smith","sequence":"additional","affiliation":[{"name":"Hamilton Health Sciences, Population Health Research Institute, McMaster University , Room 508 \u2013 McMaster Clinic, 237 Barton Street East, Hamilton General Hospital, Hamilton, ON , Canada L8L 2X2"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2527-8936","authenticated-orcid":false,"given":"Jorge Alfredo","family":"Wong","sequence":"additional","affiliation":[{"name":"Hamilton Health Sciences, Population Health Research Institute, McMaster University , Room 508 \u2013 McMaster Clinic, 237 Barton Street East, Hamilton General Hospital, Hamilton, ON , Canada L8L 2X2"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon David","family":"Schwalm","sequence":"additional","affiliation":[{"name":"Hamilton Health Sciences, Population Health Research Institute, McMaster University , Room 508 \u2013 McMaster Clinic, 237 Barton Street East, Hamilton General Hospital, Hamilton, ON , Canada L8L 2X2"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"Duong","sequence":"additional","affiliation":[{"name":"Hamilton Health Sciences, Population Health Research Institute, McMaster University , Room 508 \u2013 McMaster Clinic, 237 Barton Street East, Hamilton General Hospital, Hamilton, ON , Canada L8L 2X2"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajibul Islam","family":"Mian","sequence":"additional","affiliation":[{"name":"Hamilton Health Sciences, Population Health Research Institute, McMaster University , Room 508 \u2013 McMaster Clinic, 237 Barton Street East, Hamilton General Hospital, Hamilton, ON , Canada L8L 2X2"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marsella Giuliana","family":"Bishop","sequence":"additional","affiliation":[{"name":"Hamilton Health Sciences, Population Health Research Institute, McMaster University , Room 508 \u2013 McMaster Clinic, 237 Barton Street East, Hamilton General Hospital, Hamilton, ON , Canada L8L 2X2"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey Sean","family":"Healey","sequence":"additional","affiliation":[{"name":"Hamilton Health Sciences, Population Health Research Institute, McMaster University , Room 508 \u2013 McMaster Clinic, 237 Barton Street East, Hamilton General Hospital, Hamilton, ON , Canada L8L 2X2"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,6,14]]},"reference":[{"key":"2022101319161787800_euac042-B1","doi-asserted-by":"crossref","first-page":"1695","DOI":"10.1056\/NEJMoa1814052","article-title":"Transcatheter aortic-valve replacement with a balloon-expandable valve in low-risk patients","volume":"380","author":"Mack","year":"2019","journal-title":"N Engl J Med"},{"key":"2022101319161787800_euac042-B2","doi-asserted-by":"crossref","first-page":"1706","DOI":"10.1056\/NEJMoa1816885","article-title":"Transcatheter aortic-valve replacement with a self-expanding valve in low-risk patients","volume":"380","author":"Popma","year":"2019","journal-title":"N Engl J Med"},{"key":"2022101319161787800_euac042-B3","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1016\/j.jcin.2018.12.020","article-title":"The Vancouver 3M (Multidisciplinary, Multimodality, But Minimalist) Clinical Pathway facilitates safe next-day discharge home at low-, medium-, and high-volume transfemoral transcatheter aortic valve replacement centers: the 3M TAVR Study","volume":"12","author":"Wood","year":"2019","journal-title":"JACC Cardiovasc Interv"},{"key":"2022101319161787800_euac042-B4","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1016\/j.jcin.2020.09.063","article-title":"Incidence, predictors, and implications of permanent pacemaker requirement after transcatheter aortic valve replacement","volume":"14","author":"Sammour","year":"2021","journal-title":"JACC Cardiovasc Interv"},{"key":"2022101319161787800_euac042-B5","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1093\/ehjqcco\/qcaa089","article-title":"Predictors of pacemaker implantation after transcatheter aortic valve implantation according to kind of prosthesis and risk profile: a systematic review and contemporary meta-analysis","volume":"7","author":"Bruno","year":"2021","journal-title":"Eur Heart J Qual Care Clin Outcomes"},{"key":"2022101319161787800_euac042-B6","doi-asserted-by":"crossref","first-page":"1344","DOI":"10.1016\/j.jacc.2020.12.062","article-title":"Ambulatory electrocardiogram monitoring in patients undergoing transcatheter aortic valve replacement: JACC state-of-the-art review","volume":"77","author":"Muntan\u00e9-Carol","year":"2021","journal-title":"J Am Coll Cardiol"},{"key":"2022101319161787800_euac042-B7","doi-asserted-by":"crossref","first-page":"981","DOI":"10.1016\/j.jcin.2021.03.010","article-title":"Validation of the 2019 expert consensus algorithm for the management of conduction disturbances after TAVR","volume":"14","author":"Malebranche","year":"2021","journal-title":"JACC Cardiovasc Interv"},{"key":"2022101319161787800_euac042-B8","doi-asserted-by":"crossref","first-page":"1086","DOI":"10.1016\/j.jacc.2019.07.014","article-title":"Management of conduction disturbances associated with transcatheter aortic valve replacement: JACC scientific expert panel","volume":"74","author":"Rod\u00e9s-Cabau","year":"2019","journal-title":"J Am Coll Cardiol"},{"key":"2022101319161787800_euac042-B9","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap)-A metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Harris","year":"2009","journal-title":"J Biomed Inform"},{"key":"2022101319161787800_euac042-B10","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1161\/CIRCINTERVENTIONS.119.008674","article-title":"Role of continuous ECG monitoring to improve management of conduction disturbances post-transcatheter aortic valve replacement","volume":"12","author":"Muntan\u00e9-Carol","year":"2019","journal-title":"Circ Cardiovasc Interv"},{"key":"2022101319161787800_euac042-B11","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1016\/j.cjco.2020.04.006","article-title":"Remote ambulatory cardiac monitoring before and after transcatheter aortic valve replacement","volume":"2","author":"Winter","year":"2020","journal-title":"CJC Open"},{"key":"2022101319161787800_euac042-B12","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1161\/CIRCINTERVENTIONS.118.007635","article-title":"Utility of 30-day continuous ambulatory monitoring to identify patients with delayed occurrence of atrioventricular block after transcatheter aortic valve replacement","volume":"12","author":"Tian","year":"2019","journal-title":"Circ Cardiovasc Interv"},{"key":"2022101319161787800_euac042-B13","doi-asserted-by":"crossref","first-page":"1495","DOI":"10.1016\/j.jcin.2018.04.016","article-title":"Arrhythmic burden as determined by ambulatory continuous cardiac monitoring in patients with new-onset persistent left bundle branch block following transcatheter aortic valve replacement: the MARE Study","volume":"11","author":"Rod\u00e9s-Cabau","year":"2018","journal-title":"JACC Cardiovasc Interv"},{"key":"2022101319161787800_euac042-B14","doi-asserted-by":"crossref","first-page":"1046","DOI":"10.1016\/j.jcin.2020.01.215","article-title":"The utility of rapid Atrial pacing immediately post-TAVR to predict the need for pacemaker implantation","volume":"13","author":"Krishnaswamy","year":"2020","journal-title":"JACC Cardiovasc Interv"},{"key":"2022101319161787800_euac042-B15","doi-asserted-by":"crossref","first-page":"1763","DOI":"10.1016\/j.jcin.2020.03.031","article-title":"Prolonged continuous electrocardiographic monitoring prior to transcatheter aortic valve replacement: the PARE Study","volume":"13","author":"Asmarats","year":"2020","journal-title":"JACC Cardiovasc Interv"},{"key":"2022101319161787800_euac042-B16","doi-asserted-by":"crossref","first-page":"1564","DOI":"10.1016\/j.jcin.2017.05.030","article-title":"Clinical impact of baseline right bundle branch block in patients undergoing transcatheter aortic valve replacement","volume":"10","author":"Auffret","year":"2017","journal-title":"JACC Cardiovasc Interv"},{"key":"2022101319161787800_euac042-B17","doi-asserted-by":"crossref","first-page":"1575","DOI":"10.1016\/j.jcin.2017.06.012","article-title":"Pre-transcatheter aortic valve replacement right bundle branch block: a bundle of trouble","volume":"10","author":"Waksman","year":"2017","journal-title":"JACC Cardiovasc Interv"},{"key":"2022101319161787800_euac042-B18","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1080\/14779072.2019.1598264","article-title":"Transcatheter aortic valve replacement and cardiac conduction","volume":"17","author":"Shreenivas","year":"2019","journal-title":"Expert Rev Cardiovasc Ther"},{"key":"2022101319161787800_euac042-B19","doi-asserted-by":"crossref","first-page":"1277","DOI":"10.1016\/j.jcin.2016.05.004","article-title":"Electrocardiographic monitoring following transcatheter aortic valve replacement: do we need to and for how long?","volume":"9","author":"Urena","year":"2016","journal-title":"JACC Cardiovasc Interv"},{"key":"2022101319161787800_euac042-B20","first-page":"e009204","article-title":"2021 ISHNE\/HRS\/EHRA\/APHRS expert collaborative statement on mhealth in arrhythmia management: digital medical tools for heart rhythm professionals from the international society for holter and noninvasive electrocardiology\/ heart rhythm society\/european heart rhythm association\/asia-pacific heart rhythm society","volume":"14","author":"Varma","year":"2021","journal-title":"Circ: Arrhythm Electrophysiol"}],"container-title":["EP Europace"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/europace\/article-pdf\/24\/9\/1475\/46500022\/euac042.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/europace\/article-pdf\/24\/9\/1475\/46500022\/euac042.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,13]],"date-time":"2022-10-13T15:16:46Z","timestamp":1665674206000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/europace\/article\/24\/9\/1475\/6607812"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,14]]},"references-count":20,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2022,6,14]]},"published-print":{"date-parts":[[2022,10,13]]}},"URL":"https:\/\/doi.org\/10.1093\/europace\/euac042","relation":{},"ISSN":["1099-5129","1532-2092"],"issn-type":[{"value":"1099-5129","type":"print"},{"value":"1532-2092","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,9,1]]},"published":{"date-parts":[[2022,6,14]]}}}