Status:

UNKNOWN

Echo Assessment of Intraventricular Dyssynchrony

Lead Sponsor:

Italian Society of Cardiology

Conditions:

Chronic Heart Failure

Ischemic Heart Disease

Eligibility:

All Genders

18+ years

Brief Summary

Background. Clinical benefits of cardiac resynchronization therapy (CRT) have been clearly demonstrated in heart failure (HF) patients with severe left ventricular (LV) dysfunction and wide QRS at sur...

Detailed Description

The IMPROVE study has 3 main purposes: 1. definition of reference values of echocardiographic mechanical dyssynchrony (DYS) indexes in a population of healthy subjects; 2. definition of the feasibili...

Eligibility Criteria

Inclusion

  • Age \> 18 years.
  • Sinus rhythm.
  • Chronic heart failure (\>6 weeks duration) refractory to maximized drug therapy.
  • NYHA class III-IV.
  • LV ejection fraction less than 35% by RT3DE.
  • Indexed LV end-diastolic diameter \>3.2 cm/m2 by 2D echocardiography and/or indexed end-diastolic volume \>75 ml/m2 by 3D echocardiography.

Exclusion

  • Hypertrophic, restrictive, obstructive cardiomyopathy.
  • Primitive and hemodynamically significant valve disease (defined as valvular stenosis greater than mild, and 3+ or 4+/4+ valvular regurgitations).
  • Constrictive pericarditis.
  • Primitive pulmonary hypertension.
  • Uncorrected congential heart disease.
  • Patients candidate to heart surgery.
  • Patients with acute myocardial infarction, severe unstable angina and stroke that occurred within 6 weeks prior the study enrollment.
  • Patients with life expectation \<1 year due to disease unrelated to the heart failure.
  • Pregnant women.
  • Refusal to give the informed consent.

Key Trial Info

Start Date :

March 1 2008

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

March 1 2009

Estimated Enrollment :

336 Patients enrolled

Trial Details

Trial ID

NCT00646243

Start Date

March 1 2008

End Date

March 1 2009

Last Update

March 28 2008

Active Locations (1)

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1

Department of Cardiopulmonary Sciences - Ospedale Universitario

Udine, Italy, 33100