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Cardiac MR (CMR) in Cardiac Resynchronization Therapy Non-responders

Not Applicable
Terminated
Conditions
Heart Failure
Registration Number
NCT01367691
Lead Sponsor
University Hospital, Bonn
Brief Summary

Cardiac MR (CMR) will be used to assess myocardial activation and hemodynamics in patients with CRT.

Goals are to demonstrate that

* differences in Left ventricle (LV)- right ventricle (RV) pacing delays cause differences in myocardial activation

* differences in LV-RV pacing delays cause differences in LV/RV hemodynamics

and to use these data to optimize CRT.

Detailed Description

CMR will be performed in patients under CRT who are currently not responding to CRT. Different LV-RV delays will be programmed during CMR and LV function and different dyssynchrony parameters will be assessed. Results will be used to determine the optimal LV-RV delay, and CRT-devices will be reprogrammed accordingly. Improvement in NYHA-class/conversion to therapy responder will be determined clinically after 3 months.

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
1
Inclusion Criteria
  • presence of CRT device
  • CRT non responder
Exclusion Criteria
  • pregnancy
  • end-stage renal failure

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
improvement in NYHA-class6 months
Secondary Outcome Measures
NameTimeMethod
safety of CMR in CRT-patients6 months

pacing capture threshold, sensing and lead impedances will be monitored for significant and/or clinically relevant changes.

Trial Locations

Locations (1)

University Hospital, University of Bonn

🇩🇪

Bonn, NRW, Germany

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