A recent study published in the recent issue of JACC: Clinical Electrophysiology journal found low pacing burden following transcatheter aortic valve replacement (TAVR) in patients with prophylactic permanent pacemaker implantation (PPI). Prophylactic PPI was triggered by defined electrocardiogram (ECG) criteria, like persistent QRS widening beyond 150 milliseconds or PR intervals exceeding 240 milliseconds, along with progressive conduction changes. When this study compared outcomes at 30 days, both prophylactic and non-prophylactic PPI patients had similar clinical results. Overall, this study highlighted the need to carefully reconsider the systematic use of prophylactic pacemaker implantation after TAVR. Prophylactic permanent pacemaker implantation after transcatheter aortic valve replacement.