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Predictors of New and Persistent New Left Bundle Branch Block One Year after the Implantation of a Sutureless and Rapid-Deployment Aortic Valve Prosthesis
by
Robert Balan
, Rafał Januszek
in
Aortic valve
/ atrio-ventricular conduction abnormalities
/ atrio-ventricular conduction abnormalities; left bundle branch block; risk factors; sutureless and rapid-deployment aortic valve
/ Body mass index
/ Comparative analysis
/ Complications
/ Complications and side effects
/ Heart
/ Heart block
/ Heart valve replacement
/ Intensive care
/ left bundle branch block
/ Length of stay
/ Medicine
/ Normal distribution
/ Pacemakers
/ Patients
/ Prostheses
/ R
/ Risk factors
/ Surgery
/ Surgical techniques
/ sutureless and rapid-deployment aortic valve
2023
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Predictors of New and Persistent New Left Bundle Branch Block One Year after the Implantation of a Sutureless and Rapid-Deployment Aortic Valve Prosthesis
by
Robert Balan
, Rafał Januszek
in
Aortic valve
/ atrio-ventricular conduction abnormalities
/ atrio-ventricular conduction abnormalities; left bundle branch block; risk factors; sutureless and rapid-deployment aortic valve
/ Body mass index
/ Comparative analysis
/ Complications
/ Complications and side effects
/ Heart
/ Heart block
/ Heart valve replacement
/ Intensive care
/ left bundle branch block
/ Length of stay
/ Medicine
/ Normal distribution
/ Pacemakers
/ Patients
/ Prostheses
/ R
/ Risk factors
/ Surgery
/ Surgical techniques
/ sutureless and rapid-deployment aortic valve
2023
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Predictors of New and Persistent New Left Bundle Branch Block One Year after the Implantation of a Sutureless and Rapid-Deployment Aortic Valve Prosthesis
by
Robert Balan
, Rafał Januszek
in
Aortic valve
/ atrio-ventricular conduction abnormalities
/ atrio-ventricular conduction abnormalities; left bundle branch block; risk factors; sutureless and rapid-deployment aortic valve
/ Body mass index
/ Comparative analysis
/ Complications
/ Complications and side effects
/ Heart
/ Heart block
/ Heart valve replacement
/ Intensive care
/ left bundle branch block
/ Length of stay
/ Medicine
/ Normal distribution
/ Pacemakers
/ Patients
/ Prostheses
/ R
/ Risk factors
/ Surgery
/ Surgical techniques
/ sutureless and rapid-deployment aortic valve
2023
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Predictors of New and Persistent New Left Bundle Branch Block One Year after the Implantation of a Sutureless and Rapid-Deployment Aortic Valve Prosthesis
Journal Article
Predictors of New and Persistent New Left Bundle Branch Block One Year after the Implantation of a Sutureless and Rapid-Deployment Aortic Valve Prosthesis
2023
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Overview
Introduction: Conduction disorders following aortic valve replacement therapy (AVR), either surgical or percutaneous, are related to a higher risk of complete atrioventricular block and permanent pacemaker implantation (PPI). Aim: The objective of this study was to assess risk factors regarding the incidence of new postoperative and persistent new left bundle branch block (LBBB) 1 year after the implantation of a sutureless/rapid-deployment (SURD) aortic valve prosthesis. Material and Methods: The current study included 200 consecutive patients treated with isolated or concomitant AVR between May 2014 and May 2017 at the Department of Cardiac Surgery in Pasawa with SURD aortic valve EDWARDS INTUITY EliteTM implantation. The patients were divided according to the presence of new postoperative LBBB (67 patients, 33.5%) and persistent new LBBB 1 year after AVR (35 patients, 17.5%). A comparative analysis was performed between patients with and without new LBBB after AVR and those with and without persistent LBBB 1 year after AVR. Univariate and multivariate regression analyses were conducted to extract the risk factors of LBBB occurrence. Results: Among the risk factors for the lack of new LBBB development after AVR, Euroscore II (p < 0.001) was found, while for the occurrence of persistent new LBBB 1 year after AVR, atrial fibrillation (p = 0.001), length of hospital stay (p = 0.001) and body mass index (p = 0.004) were noted. Conclusions: Patients with new or persistent new LBBB 1 year after AVR had lower mean Euroscore II and BMI values. Their stay at the hospital was also shorter.
Publisher
MDPI AG,MDPI
Subject
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