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

About this trial

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).

Eligibility criteria

Qualifiers

Age ≥18 years

Informed consent to participate

Persistent new-onset LBBB after TAVI implantation (i.e. present at day 2)

Disqualifiers

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

Trial design

Treatments tested in this trial

  • Pacemaker implant
  • Transcutaneous cardiac monitor

Treatment groups

250 Participants
are divided into 2 treatment groups

Sponsors and collaborators