Myocardial Minimal Damage After Rapid Ventricular Pacing
Not Applicable
Completed
- Conditions
- Antitachycardia Pacing
- Registration Number
- NCT02362802
- Lead Sponsor
- Deutsches Herzzentrum Muenchen
- Brief Summary
This study aims to investigate the impact of antitachycardia pacing ( ATP) on the myocardial tissue with respect to its potential micro damage measured by several myocardial markers, especially by high-sensitive TroponinT.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 149
Inclusion Criteria
- All patients for de-novo implantation of a transvenous ICD (single chamber, dual chamber or cardiac resynchronization tehrapy) with left pectoral device position and planned apical location of the right ventricular defibrillation electrode.
Exclusion Criteria
- Resuscitation, cardiac surgical procedure, acute coronary syndrome, acute myocardial infarction, coronary revascularisation, cardioversion or ablation during the past 4 weeks, if baseline high-sensitive Troponin T is elevated
- Known stenosis of coronary vessels with indication for coronary intervention or operative revascularisation
- Intracardiac thrombus or general contraindication against ventricular burst stimulation or intraoperative ICD-testing
- Atypical lead implantation with indication for defibrillation threshold testing by induction of ventricular fibrillation
- Right sided implantation of ICD
- Planned electrical cardioversion
- Lead explantation or -extraction during procedure
- Redo procedure (except of additional implantation of a right ventricular ICD lead)
- Present temporary pacemaker electrode
- ASA >= IV or NYHA IV
- Cardiogenic shock
- Pulmonary embolism, cerebrovascular insult or dialysis in the past 4 weeks
- Lack of consent of patient
- Minority of patient
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method High sensitive Troponin 14-20 hours
- Secondary Outcome Measures
Name Time Method
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What molecular mechanisms underlie myocardial microdamage caused by antitachycardia pacing in NCT02362802?
How does antitachycardia pacing compare to standard-of-care therapies for arrhythmia in terms of myocardial preservation?
Which biomarkers, including high-sensitive TroponinT, correlate with ATP-induced myocardial injury in clinical studies?
What are the potential adverse events associated with implantable cardioverter defibrillator use in arrhythmia management?
Are there combination therapies or alternative devices that enhance ATP efficacy while minimizing myocardial damage?
Trial Locations
- Locations (1)
Deutsches Herzzentrum Muenchen
🇩🇪Munich, Germany
Deutsches Herzzentrum Muenchen🇩🇪Munich, Germany