Evidence map›Paper›PMID 40630158›Full record

ArticleJournal of arrhythmia2025

Association between aortomitral continuity calcification and conduction disturbances following transcatheter aortic valve implantation with the balloon-expandable Myval valve.

Serkan Aslan, Aysel Türkvatan, Mehmet Kanyılmaz, Burçin Yılmaz, Dilara Pay, Kadir Sadıkoğlu, Hande Uysal, Gökhan Demirci, Mehmet Altunova, Serkan Kahraman and 1 more

Abstract read
In one paragraph

Article in Journal of arrhythmia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

11 authors.

Serkan AslanDepartment of Cardiology University of Health Sciences Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital Istanbul Turkey.ORCID https://orcid.org/0000-0001-9112-5754
Aysel TürkvatanDepartment of Radiology University of Health Sciences Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital Istanbul Turkey.ORCID https://orcid.org/0000-0002-3150-5787
Mehmet KanyılmazDepartment of Radiology University of Health Sciences Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital Istanbul Turkey.ORCID https://orcid.org/0009-0002-2500-1029
Burçin YılmazDepartment of Radiology University of Health Sciences Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital Istanbul Turkey.ORCID https://orcid.org/0009-0004-5586-2756
Dilara PayDepartment of Cardiology University of Health Sciences Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital Istanbul Turkey.ORCID https://orcid.org/0000-0001-9434-432X
Kadir SadıkoğluDepartment of Cardiology University of Health Sciences Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital Istanbul Turkey.ORCID https://orcid.org/0009-0004-3532-378X
Hande UysalDepartment of Cardiology University of Health Sciences Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital Istanbul Turkey.ORCID https://orcid.org/0009-0000-0543-7904
Gökhan DemirciDepartment of Cardiology University of Health Sciences Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital Istanbul Turkey.ORCID https://orcid.org/0000-0003-2835-7530
Mehmet AltunovaDepartment of Cardiology University of Health Sciences Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital Istanbul Turkey.ORCID https://orcid.org/0000-0001-5351-5022
Serkan KahramanDepartment of Cardiology University of Health Sciences Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital Istanbul Turkey.ORCID https://orcid.org/0000-0003-2796-0987
Mehmet ErtürkDepartment of Cardiology University of Health Sciences Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital Istanbul Turkey.ORCID https://orcid.org/0000-0002-2468-2793

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Given the anatomical proximity of the cardiac conduction system, aortomitral continuity calcification (AMCC) may contribute to conduction disturbances (CD) during transcatheter aortic valve implantation (TAVI) due to radial force on the AMCC. This study aimed to investigate the impact of AMCC on new-onset CD in patients undergoing TAVI with the balloon-expandable Myval valve. Methods: This retrospective study included 160 patients who underwent TAVI. AMCC was assessed using Agatston and calcium volume scores from preprocedural computed tomography (CT). Multivariable logistic regression was used to identify independent predictors of CD. Results: High-grade atrioventricular block (HAVB) occurred in 13.1% of patients, and 17.5% required permanent pacemaker implantation (PPM). Patients with HAVB and PPM exhibited a higher prevalence of AMCC and significantly higher AMCC scores. An AMCC score >180 was an independent predictor of HAVB (OR, 5.58; 95% CI, 1.43-21.70; Conclusion: AMCC is a strong independent predictor of HAVB and PPM following TAVI, particularly with scores >180 or when AMCC is anatomically close to the RFT. Preprocedural CT-based assessment of AMCC burden and proximity may improve risk stratification and procedural planning.

Indexed as

aortomitral continuitycomputed tomographyconduction disturbancepermanent pacemaker implantationtranscatheter aortic valve implantation

Identifiers

PMID40630158
PMCPMC12234371

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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.