Objectives

GM Grégoire Massoullié
PB Pierre Bordachar
DI Didier Irles
CC Christophe Caussin
AC Antoine Da Costa
PD Pascal Defaye
FJ Frédéric Jean
AM Alexis Mechulan
PM Pierre Mondoly
GS Géraud Souteyrand
BP Bruno Pereira
SP Sylvain Ploux
RE Romain Eschalier
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To assess the efficacy and safety of a decisional algorithm based on EPS and remote monitoring of CIEDs to (1) predict the occurrence of high-grade conduction disturbances at 12 months in patients with an LBBB after TAVI and (2) study the tolerance of this management approach combining electrophysiological investigation and implantation of a medical monitoring device (loop recorder or implantable pacemaker).

To perform a prognostic stratification of LBBB after TAVI (predictive value of LBBB for mortality (all causes, cardiovascular and heart failure), hospitalisations (all causes, cardiovascular and heart failure) and occurrence of high-grade conduction disturbances at 3 and 6 months)) based on early EPS assessment

To define the predictors of high-grade conduction disturbances in instances of de novo LBBB (clinical, ECG and echocardiographic variables, etc)

To determine the validity of the HV interval in predicting the risk of syncope, complete AV block or sudden cardiac death in this subgroup of patients

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