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SUPPLEMENTARY MATERIAL
Supplemental Table 1. Factors Associated with an Increased Risk of Conduction Disturbances (New-Onset LBBB and PPM) post-TAVR
Multivariable Odds Ratio* References New-onset LBBB
Procedural characteristics
Implantation of a Medtronic Corevalve (vs Edwards Sapien valves)
2.5-8.5 1-4
Depth of implantation, per 1 mm
1.15-1.4 5-9
Overexpansion of native annulus, per 1% oversizing
1.8; 5.3 if > 15% 7, 10
Medtronic CoreValve 26 vs 23 mm
4.1 9
Edwards SAPIEN valves: 29 vs 20-23mm
3.1 11
Permanent Pacemaker Implantation
Baseline characteristics
Baseline right bundle-branch block
2.8-46.7 3, 8, 9, 12-42
Age 1.01-17 43-45
First-degree atrioventricular block 4.0-11.4 14, 15, 39, 46
Procedural characteristics
Implantation of a Medtronic Corevalve (vs Edwards Sapien valves)
2.6-25.7 3, 27, 28, 30, 31, 40, 42-44, 47, 48
Depth of implantation 1.1-1.5 7, 15, 17-19, 21, 24-26, 34, 37, 49, 50, 51
Oversizing/stretching of the aortic annulus/left ventricular outflow tract, per 1% oversizing
1.02-1.5 7, 16, 23, 26, 32, 39, 44, 45, 51, 52
* Ranges of odds ratio are from published studies with a multivariable analysis
Supplemental Table 2. Current available systems for outpatient ECG monitoring
DEVICE NAME MANUFACTURER
Holter
Holter Performer Model 2010 Applied Cariac Systems
Biomedical System BMS 300 Holter Monitor Biomedical Systems Corporation
Biomedical System BMS 1200 Holter Monitor Biomedical Systems Corporation
Braemar Cardiokey Holter Recorder Braemar Manufacturing LLC
DL900 Series Holter Recorder Braemar, INC.
IQMark Holter Midmark Medical
Datrix XR-300 Datrix
Dms 300-2w Holter ECG Recorder Diagnostic Monitoring Software
SE-2003/SE-2012 Edan Insruments, Inc.
Synescope Ela Medical Inc
FM-180 Fukuda Denshi USA, Inc
GBI-3SM Digital 3-Channel Holter Recorder Galix Biomedical Instrumentation
SEER Light Extend Compact Digital Holter System GE Healthcare
Matrix Holter System, Model M12 Global Instrumentation, LLC
Intricon Datrix Sirona Event/Holter Recorder Intricon Datrix Corporation
Cardiospy ECG Holter Systems Labtech Kft.
Model 950-3CH Holter Recorder Memtec Corp.
H3+ Holter Recorder Mortara Instrument, Inc
DL900 Holter Recorder Norav Medical Ltd.
Cardioline Click Holter Cardoline
RZ-153 Rozinn, Inc
DigiTrak Philips
Chroma2 Holter ScottCare
Performer Plus Applied Cardiac Systems (ACS)
Decipher Medicomp
IQ Holter Midmark
Evo Spacelabs
HR300 Welch Allyn
Ambulatory ECG System/Holter Recorder BIOX Instruments Co. Ltd.
CardioMem CM 4000 Getemed
Spiderview Holter MicroPort/Sorin
CardioMera Meditech Ltd.
AR12 Plus Schiller AG
Trillium 5000 Forest Medical
External event recorder/Smartphone based recorder
KardiaMobile AliveCor
Zenicor-ECG Zenicor Medical Systems
Miniscope Shiller
Omron Heartscan HCG-801 Omron
E100 Reka Health
MiCor A100 MiTAC
Micro Ambulatory ECG Recorder Dimetek Digital Medical Technologies
V-Trust Model TD-2202 TaiDoc Technology Corporation
HeartCheck SMART Monitoring CardioComm Solutions Inc.
SmartHeart SHL Telemedicine
Patch ECG recorders
EZecg Patch Hemodynamics
Zio XT patch iRhythm
CardioSTAT Icentia
TelePatch Medicomp
LP1100 Life Signal Patch LifeSignals
CAM BardyDx
Cardea Solo Cardiac Insight
VitalPatch VitalConnect
myPatch DMS Service
TAGecg sensor Welch Allyn
RootiRx Rooti Medical
Body Guardian Heart Preventice Solutions
Body Guardian Mini Preventice Solutions
ePatch BioTelemetry
Novi+ ScottCare
External Loop Recorders
Q200/HE QRS/VectraCor
Vitaphone Tele ECG Loop Recorder Vitasystems
PER900 Braemar Manufacturing, LLC
GemsTrak AF Monitor CardioComm Solutions, Inc.
Cardioblue Recorder Meditech Ltd
CardioCall VS20 Spacelabs Healthcare Ltd.
LifeWatch Explorer LifeWatch Tecnologies
King of Hearts Express Card Guard Scientific Survival, Ltd.
CardioCall VS20 Cardiac Event Monitor Spacelabs Inc.
ACS Performer Plus ACS
Looping Event Recorder CardioNet Inc.
CardioPAL SAVI Event Monitor Medicomp
wEvent BioTelemetry
Mobile Cardiac Telemetry
CORE MCT Monitor ACS Diagnostics
Fusion MCT Braemar Inc.
CardioNet MCOT Monitor CardioNet
LifeStar ACT Monitor LifeWatch
SAVI MCT Monitor Medicomp
ECAT MCT Monitor Mednet
Body Guardian Heart Preventice Solutions
Body Guardian Verite Preventice Solutions
TeleSense MCT ScottCare
DR300 Holter Monitor North East Monitoring
DR400 NorthEast Monitoring, Inc
MoMe Kardia InfoBionic
TruVue Wireless Telemetry Device Biomedical Systems
Nuvant MCT System Corventis, Inc
MCOT Patch BioTelemetry
MCT 3 Lead BioTelemetry
m-CARDS M-Health Solutions Inc.
HeartView Aerotel Medical Systems (1998) Ltd
PocketECG CRS MEDICALgorithmics
Insertable Cardiac Monitor
Reveal Linq Medtronic Inc.
Confirm Rx Insertable Cardiac Monitor Abbott / St Jude Medical
Biomonitor3 Biotronik
Source: FDA and MDALL.
Supplemental Figure 1 A-B
Incidence of conduction disturbances post-TAVR according to valve type (studies with n ≥ 100; newer generation transcatheter valve systems).
1A. Incidence of PPM.
1B. Incidence of new-onset LBBB.
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90. Mas-Peiro S, Vasa-Nicotera M, Weiler H, et al. Thirty-Day Outcomes in 100
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91. Toggweiler S, Nissen H, Mogensen B, et al. Very low pacemaker rate following
ACURATE neo transcatheter heart valve implantation. EuroIntervention 2017;13:1273–
1280.
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