Evidence map›Paper›PMID 42483022›Full record

ArticleCJC open2026

Junctional Rhythms After Transcatheter Aortic Valve Implantation: Incidence, Temporal Patterns, and Clinical Outcomes.

Grégoire Massoullié, Margot Kachkach, Samuel Adelou, Antoine Boudias, Frederic Jean, Pierre-Antoine Catalan, Saer Abu-Alrub, Nicolas Combaret, Bruno Pereira, Géraud Souteyrand and 1 more

Abstract read
In one paragraph

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

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Grégoire MassoulliéCardiology Department, CHU Clermont-Ferrand, Clermont-Ferrand, France.
Margot KachkachCardiology Department, CHU Clermont-Ferrand, Clermont-Ferrand, France.
Samuel AdelouBiostatistics Unit (Clinical Research and Innovation Direction), CHU Clermont-Ferrand, Clermont-Ferrand, France.
Antoine BoudiasCardiology Department, CHU Clermont-Ferrand, Clermont-Ferrand, France.
Frederic JeanCardiology Department, CHU Clermont-Ferrand, Clermont-Ferrand, France.
Pierre-Antoine CatalanCardiology Department, CHU Clermont-Ferrand, Clermont-Ferrand, France.
Saer Abu-AlrubCardiology Department, CHU Clermont-Ferrand, Clermont-Ferrand, France.
Nicolas CombaretCardiology Department, CHU Clermont-Ferrand, Clermont-Ferrand, France.
Bruno PereiraBiostatistics Unit (Clinical Research and Innovation Direction), CHU Clermont-Ferrand, Clermont-Ferrand, France.
Géraud SouteyrandCardiology Department, CHU Clermont-Ferrand, Clermont-Ferrand, France.
Romain EschalierCardiology Department, CHU Clermont-Ferrand, Clermont-Ferrand, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Conduction disturbances are common after transcatheter aortic valve implantation (TAVI), yet the clinical implications of junctional rhythm (JR) remain poorly characterized. We aimed to assess the incidence, temporal characteristics, and clinical outcomes associated with JR occurring after TAVI. Methods: We conducted a prospective study including all TAVI patients at Clermont-Ferrand University Hospital between December 2023 and April 2025. Patients who developed JR were identified, and a propensity score was used to match them in a 1:3 ratio with patients without JR. Results: Among 616 TAVI procedures, JR was identified in 26 patients (4.2%). The mean time to onset was 41 ± 22 hours after TAVI, with a mean junctional rate of 71 ± 12 beats per minute. At baseline, no significant differences were present in clinical, electrocardiographic, or procedural characteristics between patients with vs without JR. The incidence of in-hospital high-grade atrioventricular block did not differ significantly between groups (11.5% vs 10.3%, Conclusions: JR after TAVI appeared to be an infrequent and transient phenomenon. Although pacemaker implantation was more frequent among JR patients, no excess of documented high-grade atrioventricular block was observed. The higher pacemaker rate appeared to be related primarily to precautionary management decisions. These findings require confirmation in larger multicentre cohorts.

Indexed as

conduction disturbanceselectrocardiographyelectrophysiologyjunctional rhythmpermanent pacemakertranscatheter aortic valve implantation

Identifiers

PMID42483022
PMCPMC13386741

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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.