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Optimal Programming to Improve Mechanical Indices, Symptoms and Exercise in Cardiac Resynchronization Therapy

Not Applicable
Conditions
Heart Failure
Registration Number
JPRN-UMIN000002304
Lead Sponsor
St. Jude Medical
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete: follow-up complete
Sex
All
Target Recruitment
450
Inclusion Criteria

Not provided

Exclusion Criteria

1) Patient has an epicardial ventricular lead system. 2) Patient has the ability to walk >= 450 meters in 6 minutes. 3) Patient has limited intrinsic atrial activity (<= 40 bpm). 4) Patient has persistent or permanent AF. 5) Patient has a second or third degree heart block. 6) Patient's life expectancy is less than 1 year 7) Patient is less than 18 years old. 8) Patient is pregnant. 9) Patient is on IV inotropic agents.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
A combination of symptomatic improvement (&gt;=1 class reduction in specific activity scale (SAS) or &gt;= 25% improvement in 6 minute walk test distance) and LV remodeling (&gt;= 15% reduction LV end systolic volume or &gt;= 5% improvement in LVEF)
Secondary Outcome Measures
NameTimeMethod
1) Rate of late (12-month) response to CRT 2) Changes in B-type natriuretic peptide (BNP) in correlation to cardiac remodeling 3) Inter- / intra-ventricular dyssynchrony compared to usual optimization
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