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Stimulus Intensity in Left Ventricular Leads

Not Applicable
Completed
Conditions
Congestive Heart Failure
Interventions
Other: LV stimulus intensity
Registration Number
NCT01060449
Lead Sponsor
Emory University
Brief Summary

Cardiac resynchronization therapy (CRT) is a device implanted to improve the function of some people's hearts. CRT involves the placement of 3 wires in the heart through a vein near the front of your left or right shoulder into three pumping chambers of the heart, the most important being the left lower chamber, left ventricle (LV).

Detailed Description

The purpose of Cardiac resynchronization therapy (CRT) is to send small amounts of energy (called pacing) through the wires to both the left and right lower chambers of your heart at (or near) the same time. This helps the heart pump in a more coordinated way and send more blood to your body with each beat. How much energy is used for pacing is called the stimulus intensity. Increasing the pacing stimulus intensity of the left ventricular wire can lead to an increase in the volume of heart muscle directly stimulated. This has previously been shown to produce beneficial effects on the heart function, like strength of contraction and increased volume of blood pumped. The purpose of this study is to determine if pacing the wires in the left ventricular chamber of the heart using higher stimulus intensity improves the strength of the heart's contraction.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
60
Inclusion Criteria
  • Adults who fulfill approved criteria to receive a cardiac resynchronization device.
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Exclusion Criteria

-Adults who are unable to give informed consent.

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Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
LV lead low outputLV stimulus intensityLow output on left ventricular pacing lead. Intervention: LV stimulus intensity
LV lead high outputLV stimulus intensityHigh output on left ventricular lead Intervention: LV stimulus intensity
Primary Outcome Measures
NameTimeMethod
Ejection Fraction6 months
Secondary Outcome Measures
NameTimeMethod
Quality of Life6 months
Six minute hall walk6 months
End diastolic dimension6 months

Trial Locations

Locations (1)

Emory University Hospital

🇺🇸

Atlanta, Georgia, United States

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