New-onset persistent left bundle branch block after TAVR impaired early cardiac reverse remodeling at 6 months, including increased left ventricular mass index and reduced ejection fraction.
Cohort (n=101)
No
Does new-onset persistent LBBB after TAVR affect early cardiac reverse remodeling and short-term rehospitalization in patients with severe aortic stenosis?
New-onset persistent LBBB after TAVR is associated with adverse early cardiac structural and functional remodeling at 6 months, despite having no significant impact on short-term rehospitalization rates.
p-value: p=<0.05
Abstract Objective New-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. Methods A 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. Result Of 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. Conclusions New-onset persistent LBBB after TAVR did not affect short-term rehospitalization, but may adversely affect early postoperative reversal of cardiac remodeling.
Wang et al. (2026) conducted a cohort in Severe aortic stenosis (n=101). New-onset persistent left bundle branch block (LBBB) vs. No new-onset LBBB was evaluated on Early cardiac reverse remodeling (changes in left ventricular diameter, LVMI, and LVEF) at 6 months (p=<0.05). New-onset persistent left bundle branch block after TAVR impaired early cardiac reverse remodeling at 6 months, including increased left ventricular mass index and reduced ejection fraction.