Evidence map›Paper›PMID 34259045›Full record

SynthesisJournal of the American Heart Association2021

Predictors of Permanent Pacemaker Implantation in Patients Undergoing Transcatheter Aortic Valve Replacement - A Systematic Review and Meta-Analysis.

Waqas Ullah, Salman Zahid, Syeda Ramsha Zaidi, Deepika Sarvepalli, Shujaul Haq, Sohaib Roomi, Maryam Mukhtar, Muhammad Atif Khan, Smitha Narayana Gowda, Nicholas Ruggiero and 2 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 3 pooled it
7.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 3 syntheses or guidelines pooled it, 71 citations in OpenAlex.

  1. Pooled it
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  4. Trial
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  7. Article
  8. Review
  9. Permanent Pacemaker Implantation Following Transcatheter Aortic Valve Replacement: Incidence, Predictors, and Association With Reduced Ischemic Stroke Risk.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2026
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  10. Review
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  17. Molecular Mechanisms of Cardiac Adaptation After Device Deployment.Journal of cardiovascular development and disease · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 8 institutions in 3 countries.

Waqas UllahThomas Jefferson University Hospitals Philadelphia PA.
Salman ZahidRochester General Hospital Rochester NY.
Syeda Ramsha ZaidiSt. Mary Mercy Livonia Livonia MI.
Deepika SarvepalliGuntur Medical College Guntur India.
Shujaul HaqAbington Jefferson Health Abington PA.
Sohaib RoomiAbington Jefferson Health Abington PA.
Maryam MukhtarUniversity Hospitals of Leicester NHS Trust Leicester UK.
Muhammad Atif KhanTexas Tech University Health Sciences Center Amarillo TX.
Smitha Narayana GowdaUniversity of South Dakota Vermillion SD.
Nicholas RuggieroThomas Jefferson University Hospitals Philadelphia PA.
Alec VishnevskyThomas Jefferson University Hospitals Philadelphia PA.
David L FischmanThomas Jefferson University Hospitals Philadelphia PA.
Thomas Jefferson University Hospital · USAbington Memorial Hospital · USGuntur Medical College · INRochester General Hospital · USSt. Mary Mercy Livonia · USTexas Tech University · USUniversity Hospitals of Leicester NHS Trust · GBUniversity of South Dakota · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background As transcatheter aortic valve replacement (TAVR) technology expands to healthy and lower-risk populations, the burden and predictors of procedure-related complications including the need for permanent pacemaker (PPM) implantation needs to be identified. Methods and Results Digital databases were systematically searched to identify studies reporting the incidence of PPM implantation after TAVR. A random- and fixed-effects model was used to calculate unadjusted odds ratios (OR) for all predictors. A total of 78 studies, recruiting 31 261 patients were included in the final analysis. Overall, 6212 patients required a PPM, with a mean of 18.9% PPM per study and net rate ranging from 0.16% to 51%. The pooled estimates on a random-effects model indicated significantly higher odds of post-TAVR PPM implantation for men (OR, 1.16; 95% CI, 1.04-1.28); for patients with baseline mobitz type-1 second-degree atrioventricular block (OR, 3.13; 95% CI, 1.64-5.93), left anterior hemiblock (OR, 1.43; 95% CI, 1.09-1.86), bifascicular block (OR, 2.59; 95% CI, 1.52-4.42), right bundle-branch block (OR, 2.48; 95% CI, 2.17-2.83), and for periprocedural atriorventricular block (OR, 4.17; 95% CI, 2.69-6.46). The mechanically expandable valves had 1.44 (95% CI, 1.18-1.76), while self-expandable valves had 1.93 (95% CI, 1.42-2.63) fold higher odds of PPM requirement compared with self-expandable and balloon-expandable valves, respectively. Conclusions Male sex, baseline atrioventricular conduction delays, intraprocedural atrioventricular block, and use of mechanically expandable and self-expanding prosthesis served as positive predictors of PPM implantation in patients undergoing TAVR.

Indexed as

Pacemaker, ArtificialAortic Valve StenosisArrhythmias, CardiacElectrocardiographyGlobal HealthHeart RateHumansIncidenceTranscatheter Aortic Valve Replacementaortic diseaseaortic valveaortic valve implantationaortic valve stenosisatrioventricular blockpacemakertranscathether aortic valve replacement

Identifiers

PMID34259045
PMCPMC8483489
OpenAlexW3179721808

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.