Status:

COMPLETED

Registry of Unexplained Cardiac Arrest

Lead Sponsor:

University of British Columbia

Collaborating Sponsors:

Kingston Health Sciences Centre

Quebec Heart Institute

Conditions:

Cardiac Arrest

Long QT Syndrome

Eligibility:

All Genders

2+ years

Brief Summary

The CASPER will collect systematic clinical assessments of patients and families within the multicenter Canadian Inherited Heart Rhythm Research Network. Unexplained Cardiac Arrest patients and family...

Detailed Description

Arrhythmias caused by congenital or acquired abnormalities of cardiac K+ or Na+ channels are increasingly recognized as a cause of syncope and sudden death. Cardiac arrest in the absence of overt stru...

Eligibility Criteria

Inclusion

  • Cardiac arrest requiring cardioversion or defibrillation.
  • Syncope with documented polymorphic ventricular tachycardia felt to be responsible for the index event.
  • First degree relative of an index case of UCA undergoing clinical testing.
  • First degree relative of a family member with UCA or sudden death before age 35 with a negative autopsy for cause of death, presumed arrhythmic.
  • First degree relative of a family member with UCA or sudden death with objective evidence of primary electrical disease, such as a diagnostic electrocardiogram (ECG), exercise test, drug infusion, or genetic testing.

Exclusion

  • Coronary artery disease (stenosis \> 50%)
  • Reduced left ventricular function (left ventricular ejection fraction \[LVEF\] \< 50%)
  • Event managed without an implantable cardioverter defibrillator \[ICD\] (for follow-up portion)
  • Unwilling or unable to provide clinical follow-up (for follow-up portion)
  • Comorbidity making survival of \> 1 year unlikely
  • Persistent resting QTc \> 460 msec for males and 480 msec for females
  • Reversible cause of cardiac arrest such as marked hypokalemia (\< 2.8 mmol/l) or drug overdose sufficient in gravity without other cause to explain the cardiac arrest
  • Hemodynamically stable sustained monomorphic ventricular tachycardia with a QRS morphology consistent with recognized forms of idiopathic ventricular tachycardia (outflow tract or apical septal)
  • Brugada's sign with e2 mm ST elevation in V1 and/or V2
  • Unwilling or unable to provide consent

Key Trial Info

Start Date :

May 1 2004

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

August 30 2020

Estimated Enrollment :

1529 Patients enrolled

Trial Details

Trial ID

NCT00292032

Start Date

May 1 2004

End Date

August 30 2020

Last Update

November 16 2020

Active Locations (1)

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1

University of British Columbia

Vancouver, British Columbia, Canada, V6E 1M7