Rapid Right Ventricular Pacing (RVP) is a technique commonly used during Transcatheter Aortic Valve Replacement (TAVR) to temporarily increase the ventricular heart rate and reduce cardiac output and arterial blood pressure during critical stages of valve implantation. This controlled reduction in cardiac motion and blood flow helps create a more stable environment for accurate positioning and deployment of a transcatheter heart valve.

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The primary goal of rapid right ventricular pacing is to create a brief period of reduced cardiac output and controlled hypotension, minimizing movement of the aortic valve annulus and reducing the forces that could interfere with accurate transcatheter valve deployment. RVP is particularly important during balloon aortic valvuloplasty and implantation of balloon-expandable transcatheter heart valves. It may also be used during selected steps of self-expanding valve procedures when rapid pacing is necessary.

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Rapid right ventricular pacing remains an essential technique in structural heart interventions, particularly during TAVR. By providing a predictable and temporary reduction in cardiac output, RVP supports precise valve implantation, procedural efficiency, and patient safety. Additionally, the temporary right ventricular pacing catheter can provide backup pacing support if significant bradycardia or conduction disturbances develop during or immediately following the procedure.