Introduction Transcatheter Aortic Valve Replacement (TAVR) is a minimally invasive alternative to surgical aortic valve replacement (SAVR), particularly for high-risk patients. However, one significant post-procedural concern is the need for permanent pacemaker implantation (PPM). This article explores the impact of PPM on hospital resource utilization and Medicare reimbursement over a 12-month period.
For more in-depth research on cardiovascular interventions, visit https://www.cardiologymedjournal.com/jccm.
Key Findings from the Study
- Prevalence of PPM: 14.8% of Medicare beneficiaries (MBs) who underwent TAVR required a pacemaker during their index hospitalization.
- Hospital Readmission Rates: 46% of patients were readmitted at least once within a year, with 54.6% of those readmissions occurring within 90 days of discharge.
- Financial Impact:
- Average total Medicare reimbursement for all hospitalizations within 12 months was $60,638 ± $28,974.
- Patients requiring a PPM had significantly higher Medicare reimbursements ($5,132 more) than those who did not.
- Hospital Length of Stay (LOS):
- MBs receiving a PPM had a 1.8-day longer total hospital LOS compared to non-PPM patients.
Clinical Implications and External Insights The American College of Cardiology (ACC) highlights the importance of managing post-TAVR complications, including conduction disturbances that may require PPM implantation. Proper patient monitoring and risk assessment can help reduce readmissions and optimize long-term outcomes.
Further Reading and Resources For further reading, access the full study at https://doi.com/10.29328/journal.jccm.1001060.
Explore related articles on cardiovascular interventions at https://www.cardiologymedjournal.com/jccm.
Call-to-Action (CTA) Stay informed about the latest advancements in cardiovascular care. Visit https://www.cardiologymedjournal.org/jccm for more research insights. Join the discussion by sharing your thoughts in the comments!
Disclaimer: This content is generated using AI assistance and should be reviewed for accuracy and compliance before considering this article and its contents as a reference. Any mishaps or grievances raised due to the reusing of this material will not be handled by the author of this article


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