Check monitoring vs guided pacing after valve replacement
Part of Heart & circulation clinical trials.
This study compares two ways to decide when someone needs a pacemaker after they get a new heart valve (TAVI) and develop a new, persistent left bundle branch block (LBBB). It may help reduce unnecessary procedures while still keeping heart rhythms safe.
Summary written for real people, not researchers, by Clin2.
Who can take part
- Be age 18 or older
- Have signed consent to join the study
- Develop a new left bundle branch block after TAVI that is still present on day 2
- You must not have had a pacemaker or defibrillator before
- You must not have had left bundle branch block or right bundle branch block before the TAVI
- You likely must not already have a strong guideline-based reason for getting a pacemaker right away
Quick eligibility check
Answer a few plain-language questions, based on this study's own requirements, to get a preliminary sense of fit.
Similar studies
Other trials that look related to this one.
This study looks at people who develop a new heart block (left bundle branch block) after having a minimally invasive aortic valve replacement. Researchers want to find the best way to manage this condition to prevent future heart problems.
This study tests a new way to place a pacemaker lead inside the heart to help it beat more effectively, aiming to improve heart function and symptoms in people with heart failure and a specific electrical problem (left bundle branch block). If you meet the criteria, this could be an option to discuss with your heart doctor.
This study uses a portable heart monitor to watch for a serious heart rhythm problem called high-degree atrioventricular block in people who develop a new, persistent left bundle branch block after a TAVI valve procedure. It may help catch dangerous rhythm changes earlier and guide treatment sooner.
This trial compares a newer pacing technique (left bundle branch area stimulation) with standard pacing in people who need a pacemaker after TAVI (a valve replacement procedure). It aims to see if the newer method works better for keeping the heart's rhythm stable.
This trial tests whether getting a pacemaker right after a procedure to replace the aortic valve can prevent dangerous slow heart rhythms in people with a specific heart rhythm condition. If you have this condition, a pacemaker might help you stay safe and recover better.
This trial tests if special pacing of the heart's lower chambers (called cardiac resynchronization therapy, or CRT) can help people who develop a new electrical delay in the heart after having a transcatheter aortic valve replacement (TAVI). The study compares two types of pacing to see which works better for recovery.
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