{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T11:49:23Z","timestamp":1793274563045,"version":"4.5.0"},"reference-count":0,"publisher":"Sultan Qaboos University","issue":"1","license":[{"start":{"date-parts":[[2025,5,2]],"date-time":"2025-05-02T00:00:00Z","timestamp":1746144000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sultan Qaboos University Medical Journal"],"abstract":"<jats:p>Objectives: This study aims to evaluate the predictors and rate of permanent pacemaker (PPM) implantation among patients undergoing transcatheter aortic valve replacement (TAVR) at two institutions in Oman. TAVR has become the standard of care for patients with severe aortic stenosis at high risk for surgery. However, it is associated with a high PPM implantation rate. Methods: This was a retrospective study involving all patients undergoing TAVR at two leading cardiac centres in Oman over seven years, from May 2013 to September 2020. We included patients who survived the procedure to discharge and those who were followed-up for at least 1 year post-procedure. Results: A total of 153 patients (mean age = 74.2 \u00b1 8.2 years; 82 males [53.6%]) were enrolled in the study. Of these, 15 patients (age = 74.3 \u00b1 9.8 years, 46.6% male) required a permanent pacemaker within 1 year of follow-up, giving a pacemaker implantation rate of 9.8% following TAVR in the cohort. The factors that predicted the requirement of a pacemaker were pre-existing right bundle branch block (odds ratio [OR] = 10.9, 95% confidence interval [CI]: 3.31--36.33; P &lt; 0.001); abnormal QRS axis (OR = 9.11, 95% CI: 2.77--29.91; P &lt; 0.001); prolonged QRS duration (OR = 3.26, 95% CI: 1.06--9.92; P = 0.03); and any pre-existing conduction abnormality (OR = 1.18, 95% CI: 1.08--1.29; P = 0.01). Conclusions: The PPM implantation rates post-TAVR at two Omani institutions are comparable to those reported in the literature. Close rhythm surveillance is crucial, especially in patients with any of the predictors identified above, for the timely identification of susceptible patients who might require PPM implantation.<\/jats:p>","DOI":"10.18295\/2075-0528.2831","type":"journal-article","created":{"date-parts":[[2025,5,3]],"date-time":"2025-05-03T05:40:03Z","timestamp":1746250803000},"page":"209-217","source":"Crossref","is-referenced-by-count":0,"title":["Incidence and Predictors of Permanent Pacemaker Implantation Following Transcatheter Aortic Valve Replacement: &lt;em&gt;Two-centre experience from Oman&lt;\/em&gt;"],"prefix":"10.18295","volume":"25","author":[{"given":"Mohamed N. Al","family":"Rawahi","sequence":"first","affiliation":[{"name":"Department of Medicine, Sultan Qaboos University Hospital, University Medical City, Muscat, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adil Al","family":"Kindi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Sultan Qaboos University Hospital, University Medical City, Muscat, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed Al","family":"Yarubi","sequence":"additional","affiliation":[{"name":"Department of Cardiology, National Heart Center, Muscat, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Shams","sequence":"additional","affiliation":[{"name":"Department of Cardiology, National Heart Center, Muscat, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adil Al","family":"Riyami","sequence":"additional","affiliation":[{"name":"Department of Medicine, Sultan Qaboos University Hospital, University Medical City, Muscat, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hatim Al","family":"Lawati","sequence":"additional","affiliation":[{"name":"Department of Cardiology, National Heart Center, Muscat, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed El","family":"Said","sequence":"additional","affiliation":[{"name":"Department of Cardiology, National Heart Center, Muscat, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed Al","family":"Riyami","sequence":"additional","affiliation":[{"name":"Department of Cardiology, National Heart Center, Muscat, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khalid Al","family":"Saidi","sequence":"additional","affiliation":[{"name":"Department of Cardiology, National Heart Center, Muscat, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ismail Al","family":"Abri","sequence":"additional","affiliation":[{"name":"Department of Cardiology, National Heart Center, Muscat, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Najib Al","family":"Rawahi","sequence":"additional","affiliation":[{"name":"Department of Cardiology, National Heart Center, Muscat, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullah Al","family":"Ismaili","sequence":"additional","affiliation":[{"name":"Department of Medicine, Sultan Qaboos University Hospital, University Medical City, Muscat, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fahad Al","family":"Kindi","sequence":"additional","affiliation":[{"name":"Department of Medicine, Sultan Qaboos University Hospital, University Medical City, Muscat, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad A.","family":"Sadiq","sequence":"additional","affiliation":[{"name":"Department of Medicine, Sultan Qaboos University Hospital, University Medical City, Muscat, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunil K.","family":"Nadar","sequence":"additional","affiliation":[{"name":"Department of Cardiology, The Dudley Group NHS Foundation Trust, Dudley, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"7681","published-online":{"date-parts":[[2025,5,2]]},"container-title":["Sultan Qaboos University Medical Journal"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T11:17:56Z","timestamp":1793272676000},"score":1,"resource":{"primary":{"URL":"https:\/\/mjournal.squ.edu.om\/home\/vol25\/iss1\/34"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,2]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,5,2]]}},"URL":"https:\/\/doi.org\/10.18295\/2075-0528.2831","relation":{},"ISSN":["2075-0528"],"issn-type":[{"value":"2075-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,2]]}}}