Systematic Ambulatory ECG Monitoring Following TAVI

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorInstitut universitaire de cardiologie et de pneumologie de Québec, University Laval

About this trial

This multicenter, prospective, randomized superiority trial will evaluate whether systematic 14-day ambulatory ECG monitoring following hospital discharge after transcatheter aortic valve implantation (TAVI) reduces the risk of sudden death, symptomatic arrhythmic events, or stroke within 1 year compared with standard post-discharge care. Patients undergoing successful TAVI without permanent pacemaker implantation and presenting with at least one ECG conduction abnormality at hospital discharge will be randomized to receive either ambulatory ECG monitoring or standard follow-up. All participants will undergo routine clinical follow-up at 30 days and 1 year after TAVI.

Eligibility criteria

Qualifiers

Age >18 years

Successful TAVI procedure.

Hospitalization discharge ≤72 hrs following the TAVI procedure.

Presence of at least 1 ECG abnormality at hospital discharge (QRS ≥120 ms OR PR ≥200 ms)

Disqualifiers

Pacemaker implantation (pre- TAVI or during hospitalization after the procedure).

TAVI valve-in-valve procedure

Any complication or logistic reason precluding hospital discharge ≤72 hrs following the TAVI procedure.

Impossibility to obtain signed informed consent.

Trial design

Treatments tested in this trial

  • Ambulatory ECG monitoring

Treatment groups

754 Participants
are divided into 2 treatment groups