{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:40:13Z","timestamp":1756374013368,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,12,4]]},"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:p>Transcatheter aortic valve implantations (TAVIs) may be complicated by a need for permanent pacemaker implantation post procedure, usually due to local trauma or compression on the conduction system. There are some features that might help predict that a patient is high risk for developing conduction disease following TAVI, for example, underlying right bundle branch block or use of certain types of TAVI. It might also become apparent during the procedure, or before temporary wire removal post procedure. Higher risk patients may undergo rhythm monitoring for longer periods post TAVI. We present a case where a patient required an unexpected emergency pacemaker following a TAVI, despite low risk clinical features, a low risk baseline ECG, and the use of a low risk TAVI valve. In addition, this very significant conduction disease only became apparent over 72\u2009hours following implantation, despite normal resting ECGs and telemetry up to that point.<\/jats:p>","DOI":"10.1136\/bcr-2019-232477","type":"journal-article","created":{"date-parts":[[2019,12,18]],"date-time":"2019-12-18T05:15:20Z","timestamp":1576646120000},"page":"e232477","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Late ventricular standstill following an elective TAVI"],"prefix":"10.1136","volume":"12","author":[{"given":"Peter","family":"Wheen","sequence":"first","affiliation":[{"name":"School of Medicine, Trinity College Dublin, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Armstrong","sequence":"additional","affiliation":[{"name":"Department of Cardiology, St James Hospital, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Maree","sequence":"additional","affiliation":[{"name":"Department of Cardiology, St James Hospital, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"O'Connor","sequence":"additional","affiliation":[{"name":"Department of Cardiology, St James Hospital, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,12,17]]},"reference":[{"key":"2025082802240713000_12.12.e232477.1","unstructured":"Ruparelia NP , Prendergast DP . Technical aspects of transcatheter aortic valve implantation (TAVI). E-J Cardiol Pract, 2016. Available: https:\/\/www.escardio.org\/Journals\/E-Journal-of-Cardiology-Practice\/Volume-14\/technical-aspects-of-transcatheter-aortic-valve-implantation-tavi"},{"key":"2025082802240713000_12.12.e232477.2","first-page":"459","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","volume":"12","author":"Wood","year":"2019","journal-title":"JACC: Cardiovascular Interventions"},{"key":"2025082802240713000_12.12.e232477.3","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1016\/j.ijcard.2018.07.131","article-title":"Delayed pacemaker requirement after transcatheter aortic valve implantation with a new-generation balloon expandable valve: should we monitor longer?","volume":"273","author":"De-Torres-Alba","year":"2018","journal-title":"Int J Cardiol"},{"key":"2025082802240713000_12.12.e232477.4","doi-asserted-by":"crossref","first-page":"1273","DOI":"10.4244\/EIJ-D-17-00252","article-title":"Very low pacemaker rate following ACURATE Neo transcatheter heart valve implantation","volume":"13","author":"Toggweiler","year":"2017","journal-title":"EuroIntervention"},{"key":"2025082802240713000_12.12.e232477.5","unstructured":"Clinical Trials . Remote ECG monitoring of TAVI patients. Available: https:\/\/clinicaltrials.gov\/ct2\/show\/NCT03810820"},{"key":"2025082802240713000_12.12.e232477.6","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1016\/j.jtcvs.2014.09.126","article-title":"Aborted episode of sudden death due to delayed heart block after transcatheter aortic valve insertion","volume":"149","author":"Greason","year":"2015","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025082802240713000_12.12.e232477.7","doi-asserted-by":"publisher","DOI":"10.1093\/ehjci\/jev343"},{"key":"2025082802240713000_12.12.e232477.8","doi-asserted-by":"publisher","DOI":"10.1007\/s12928-012-0153-9"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-232477","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:24:14Z","timestamp":1756373054000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-232477"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12]]},"references-count":8,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2019,12,17]]},"published-print":{"date-parts":[[2019,12]]}},"alternative-id":["10.1136\/bcr-2019-232477"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-232477","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,12]]}}}