Status:

COMPLETED

Optimal Anti-tachycardia Therapy in Implantable Cardioverter-defibrillator (ICD) Patients Without Pacing Indications

Lead Sponsor:

LivaNova

Conditions:

Tachycardia

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

This study evaluates the impact of a new pacing mode avoiding unnecessary ventricular stimulation in combination with advanced dual chamber detection with slow VT management on the clinical outcome fo...

Detailed Description

All patients will receive an implantable cardioverter defibrillator OVATIO™ DR model 6550 or a later Sorin Group device offering the same functions. After Enrolment visit but before implant, patients ...

Eligibility Criteria

Inclusion

  • Patient has been prescribed the implantation for an ICD system accordingly to the relevant currently-approved ACC/AHA guidelines 1 or ESC guidelines 35 or any relevant currently-approved local guidelines for the implantation of an ICD-system
  • Impaired left ventricular function demonstrated by a left-ventricular ejection fraction (LVEF) ≤ 40 %, measured by angio-scintigraphy, echocardiography, or contrast ventriculogram.
  • An optimal (as determined by the enrolling physician) medical regimen.
  • Patient has received all relevant information on the study, and has signed and dated a consent form.

Exclusion

  • Any generally accepted indication for standard cardiac pacing, or any contraindication for standard cardiac pacing.
  • Any indication for CRT accordingly to the relevant currently-approved ACC/AHA1 or ESC35 guidelines for the implantation of a CRT system.
  • Any contraindication for ICD therapy and the implant of a dual chamber ICD.
  • ICD replacement
  • Chronic atrial arrhythmias or cardioversion for atrial fibrillation within the past month.
  • A PR interval \> 250 ms or AR interval \> 300 ms measured at implant.
  • Hypertrophic obstructive cardiomyopathy.
  • Acute myocarditis.
  • Unstable coronary symptoms or myocardial infarction within the last month.
  • Recent (within the last month) or planned cardiac revascularization or coronary angioplasty.
  • Recently performed (in the last month) or planned cardiac surgery
  • Already included in another clinical study.
  • Life expectancy less than 24 months.
  • Inability to understand the purpose of the study or refusal to cooperate.
  • Inability or refusal to provide informed consent and, if not part of the informed consent, a Health Insurance Portability and Accountability Act (HIPAA) authorization.
  • Unavailability for scheduled follow-up at the implanting or cooperating center.
  • Age of less than 18 years.
  • Pregnancy

Key Trial Info

Start Date :

June 1 2006

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

October 1 2013

Estimated Enrollment :

462 Patients enrolled

Trial Details

Trial ID

NCT00729703

Start Date

June 1 2006

End Date

October 1 2013

Last Update

January 13 2015

Active Locations (55)

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Page 1 of 14 (55 locations)

1

Piedmont Hospital Research Institute

Atlanta, Georgia, United States, 30303

2

Atlanta Va Medical Center

Decatur, Georgia, United States, 30301

3

Southern Medical Research, Llc

Mandeville, Louisiana, United States, 70471

4

River City Cardiology

Jeffersonville, Ohio, United States, 43128