Evidence map›Paper›PMID 41937153›Full record

ArticleJournal of cardiothoracic surgery2026

Early reversal of cardiac remodeling in patients with new-onset persistent left bundle branch block after transcatheter aortic valve replacement.

Shuzhen Wang, Kunyue Tan, Xiaoqiang Gao, Lijuan Zhang, Chunxia Liu, Xiaofeng Huang, Shuangshuang Yan, Jing Guo, Feng Xiong

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Article in Journal of cardiothoracic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

9 authors.

Shuzhen WangDepartment of Cardiology, The Third People's Hospital of Chengdu, Chengdu, 610031, Sichuan, China.
Kunyue TanDepartment of Cardiology, The Third People's Hospital of Chengdu, Chengdu, 610031, Sichuan, China.
Xiaoqiang GaoDepartment of Cardiology, The Third People's Hospital of Chengdu, Chengdu, 610031, Sichuan, China.
Lijuan ZhangDepartment of Cardiology, The Third People's Hospital of Chengdu, Chengdu, 610031, Sichuan, China.
Chunxia LiuDepartment of Cardiology, The Third People's Hospital of Chengdu, Chengdu, 610031, Sichuan, China.
Xiaofeng HuangDepartment of Cardiology, The Third People's Hospital of Chengdu, Chengdu, 610031, Sichuan, China.
Shuangshuang YanDepartment of Cardiology, The Third People's Hospital of Chengdu, Chengdu, 610031, Sichuan, China.
Jing GuoDepartment of Cardiology, The Third People's Hospital of Chengdu, Chengdu, 610031, Sichuan, China.
Feng XiongDepartment of Cardiology, The Third People's Hospital of Chengdu, Chengdu, 610031, Sichuan, China. xiong.feng05@163.com.

Funding

This work was supported by The Third People's Hospital of Chengdu Clinical Research Program CSY-YN-01-2024-066
6 · The paper itself

Abstract

objectiveNew-onset persistent left bundle branch block (LBBB) following transcatheter aortic valve replacement (TAVR) is an independent predictor of long-term cardiovascular mortality in patients. The aim of this study is to evaluate the impact of new-onset LBBB on early cardiac reverse remodeling and clinical outcomes after TAVR.

methodsA retrospective analysis was performed on 101 patients who underwent successful TAVR for severe aortic stenosis between March 2021 and October 2024 at our institution. Echocardiographic variables indicative of cardiac remodeling were analysed preoperatively and at one and six months after TAVR. Furthermore, the clinical outcomes of the patients were monitored during the follow-up period.

resultOf the 101 patients who underwent TAVR, 28 (27.7%) had new-onset LBBB. Transcatheter heart valve(THV) implantation depth was an influential factor for new LBBB, which was more prevalent in patients with thinner interventricular septal thickness preoperatively. At the six-month follow-up, the new-LBBB group showed an increase in left ventricular diameter and left ventricular mass index and a reduction in left ventricular ejection fraction compared with the preoperative period. Mitral regurgitation in the no-LBBB group was significantly reduced at 1 month postoperatively. In contrast, mitral regurgitation in new-LBBB group was reduced at one month postoperatively, but worsened at six months.There was no significant difference in rehospitalization rates within 6 months postoperatively between patients with or without LBBB.

conclusionsNew-onset persistent LBBB after TAVR did not affect short-term rehospitalization, but may adversely affect early postoperative reversal of cardiac remodeling.

Indexed as

Aortic Valve StenosisBundle-Branch BlockPostoperative ComplicationsTranscatheter Aortic Valve ReplacementVentricular RemodelingAgedAged, 80 and overEchocardiographyFemaleFollow-Up StudiesHumansMaleRetrospective StudiesCardiac remodelingEchocardiographyNew-onset left bundle branch blockTranscatheter aortic valve replacement

Identifiers

PMID41937153
PMCPMC13192081

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