Patients with severe aortic stenosis candidates for a TAVI procedure harbor a high burden of silent arrhythmic events. Pre-procedural detection of such arrhythmias should help the investigators to implement specific therapeutic measures that may improve patient outcomes and reduce hospitalization length post-TAVI.
This is a prospective registry including patients accepted by the heart team for a TAVI procedure. Patients will undergo a prolonged continuous ECG monitoring using the CardioSTAT® device within the 3 months prior to the TAVI procedure. The duration of the ECG monitoring will be of 1 week. There will be no restriction regarding the type of valve and approach used for the TAVI procedure. All type of arrhythmic events will be recorded, as well as the specific therapeutic measures implemented upon the occurrence of the arrhythmic event. Following the TAVI procedure, the patients will be monitored (telemetry) until hospital discharge. All arrhythmic events during the hospitalization period will be recorded. Clinical follow-up will be performed at 30 days, and 1 year post-TAVI, and yearly thereafter up to 5-year follow-up.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
106
Prolonged continuous ECG monitoring using the CardioSTAT® device within the 3 months prior to the TAVI procedure
IUCPQ
Québec, Quebec, Canada
Arrhythmic events
Incidence and type of arrhythmic events
Time frame: Within 3 months prior to the TAVI procedure
Therapeutic changes
incidence of arrhythmic events identified by the device leading to therapeutic changes prior to the TAVI procedure
Time frame: Within 3 months prior to the TAVI procedure
Atrial fibrillation
incidence of atrial fibrillation
Time frame: Within 3 months prior to the TAVI procedure
Atrial fibrillation
duration of atrial fibrillation
Time frame: Within 3 months prior to the TAVI procedure
Atrioventricular block
incidence of advanced atrioventricular block
Time frame: Within 3 months prior to the TAVI procedure
Severe bradycardia
incidence of severe bradycardia
Time frame: Within 3 months prior to the TAVI procedure
Left bundle branch block
incidence of left bundle branch block
Time frame: Within 3 months prior to the TAVI procedure
Permanent pacemaker
percentage of patients with an indication of permanent pacemaker
Time frame: Within 3 months prior to the TAVI procedure
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Anticoagulation therapy
percentage of patients with an indication for anticoagulation therapy
Time frame: Within 3 months prior to the TAVI procedure