Status:

WITHDRAWN

Endocardial Pacing in On-table Non-responders in Cardiac Resynchronization Therapy

Lead Sponsor:

Catharina Ziekenhuis Eindhoven

Conditions:

Heart Failure

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The purpose of this study is to determine whether left ventricular endocardial pacing exhibits a greater acute hemodynamic response during biventricular pacing in patients who do not show this respons...

Detailed Description

Cardiac resynchronisation therapy (CRT) with biventricular pacemakers and implantable cardiac defibrillators (ICD) has proven to be a valuable therapy in selected patients with systolic heart failure,...

Eligibility Criteria

Inclusion

  • Age ≥18y
  • LVEF ≤35%
  • QRS-duration ≥0.12 seconds
  • NYHA functional class III or IV despite optimal medical therapy defined as use of angiotensin-converting enzyme inhibitors or angiotensin-II receptor blocker and beta-blockers unless they are not tolerated or contra-indicated
  • sinus rhythm or atrial fibrillation

Exclusion

  • episode of acute heart failure ≤3 months
  • change in dosage of beta-blockers, angiotensin-converting enzyme inhibitors or angiotensin-II receptor blockers ≤3 months
  • unstable angina pectoris, acute myocardial infarction, percutaneous intervention or coronary bypass surgery ≤3 months
  • chronic atrial arrhythmias other than atrial fibrillation
  • any mechanical or biological valve prosthesis
  • atrial septal defect
  • right-to-left shunt
  • severe pulmonary hypertension (systolic pulmonary artery pressure \>90 mmHg)
  • uncontrolled arterial hypertension
  • known allergy to sulphur hexafluoride
  • end-stage renal or hepatic disease
  • inability to provide written informed consent
  • pregnancy or childbearing potential without use of birth-control measurements
  • general contra-indications to magnetic resonance imaging

Key Trial Info

Start Date :

August 1 2010

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

April 1 2012

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT01193712

Start Date

August 1 2010

End Date

April 1 2012

Last Update

February 3 2015

Active Locations (1)

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Catharina Ziekenhuis

Eindhoven, Netherlands