Clinical Monitoring Strategy Versus Electrophysiology-guided Algorithmic Approach With a New LBBB After TAVI
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorMontreal Heart Institute
The primary hypothesis of the proposed study is that an electrophysiology-based algorithmic approach is superior to standard clinical follow-up with 30-day monitoring in reducing the combined endpoint of syncope, hospitalization, and death in patients in patients with new of left bundle branch block following transcatheter aortic valve implantation (TAVI).
Age ≥18 years
Informed consent to participate
Persistent new-onset LBBB after TAVI implantation (i.e. present at day 2)
Prior pacemaker or implantable cardioverter-defibrillator
Pre-existing right bundle branch block (RBBB) or LBBB (i.e., prior to TAVI)
Class I or IIA indication for PPM implantation according to management guidelines