The American College of Cardiology (ACC) has published an expert consensus decision pathway on the management of conduction disturbances in patients undergoing transcatheter aortic valve implantation.
Published in the Journal of the American College of Cardiology (JACC), the document spotlights the frequent occurrence of conduction disturbances of the heart for patients who require a permanent pacemaker after TAVI. The primary goal is to guide clinical decision-making in identifying and managing conduction disturbances following TAVI.
Drafted by a writing committee chaired by Scott M Lilly (Ohio State University, Columbus, USA) the expert consensus decision pathway was deemed essential due to the the frequency, consequences and heterogeneity of approaches—between inpatient versus outpatient centres—of post-TAVI conduction disturbances, ACC said in a statement.
Recommendations include guidance for managing pre-TAVI, intraprocedural-TAVI and post-TAVI patients.