Electrocardiographic Characteristics of Escape Rhythm During Complete Atrioventricular Block After Transcatheter Aortic Valve Replacement

Reviews in Cardiovascular Medicine 2026 Open access

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Authors: Itamar Loewenstein, Oren Yagel, Maayan Shrem, Daniel A. Lichtenstein, Gabby Elbaz-Greener, Oholi Tovia-Brodie, Jeremy Ben-Shoshan, David Planer, Yoav Michowitz, Maayan Konigstein, Bernard Belhassen
DOI: 10.31083/rcm43915
Cited by: 1
References: 27

Abstract

Background: Complete atrioventricular block (CAVB) following transcatheter aortic valve replacement (TAVR) is primarily attributed to mechanical compression of the penetrating or branching portions of the His bundle, and less commonly, the atrioventricular (AV) node. This study aimed to characterize the electrocardiographic features of stable escape rhythms (ERs) occurring during CAVB after TAVR. Methods: This retrospective study analyzed 12-lead electrocardiograms (ECGs) obtained at three time points: before TAVR (ECG 1), after TAVR but before CAVB (ECG 2), and during CAVB (ECG 3). The ERs on ECG 3 were classified as AV junctional if the rate was 40-60 beats per minute (bpm) and, compared with ECG 2, if the QRS morphology matched in ≥10/12 leads, the QRS duration differed by

Fields of Study & Subjects

Cardiac Valve Diseases and Treatments Cardiac Arrhythmias and Treatments Atrial Fibrillation Management and Outcomes

Publication details

Journal / source
Reviews in Cardiovascular Medicine
Publisher
IMR Press
Volume
27
Issue
1
Pages
43915–43915
Publication date
12 January 2026
Language
EN