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Cardiac Resynchronization Therapy (CRT)-Narrow-dp/Dt-Study

Phase 4
Completed
Conditions
Heart Failure
Interventions
Procedure: LV dp/dt pressure measurement
Registration Number
NCT00821938
Lead Sponsor
Medtronic Bakken Research Center
Brief Summary

Goal is to examine the efficy of Cardiac Resynchronization Therapy in heart failure patients with narrow QRS complex and optimized medical treatment but echocardiographic desynchronization detection as well as the positve increase of the intraoperative pressureincreasespeed in reverse remodelling and a secondary improvement of functional parameters

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
30
Inclusion Criteria
  • EF < 35%
  • CHD or dilate cardiomyopathy
  • sinus rhythm
  • NYHA III (or IV but stable recompenstated)
  • QRS < 120 ms 2-3 of the following:
  • LV-fillingtime < 40% of the cyclelength
  • TDI septal-lateral (LV basal) > 60ms
  • 2D-Strain-Score > 9 points
Exclusion Criteria
  • tricuspid or artificial valve
  • AV block II or III or PQ time > 250ms
  • revasculisation or condition after cardiac surgery < 3 months
  • myocardial infarction or bypass OP < 3 months
  • hytertrphic obstructive cardiomyopathy, constrictive pericarditis
  • intravenous catecholamines because of HF
  • manifeste hyperthyreoses
  • kidney failure (creatine >2,5 mg/dl)
  • no written informed consent
  • no compliance
  • participation in another study
  • life expectancy < 1 year
  • patients < 18 years
  • pragnancy or no safe contraception

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
DDD-ICDLV dp/dt pressure measurement-
CRT-ICDLV dp/dt pressure measurement-
Primary Outcome Measures
NameTimeMethod
Indexed left ventricular volume12 months
Secondary Outcome Measures
NameTimeMethod
NYHA-class, 6 minute hallwalk, QOL, BNP-level, echo-criteria12 months

Trial Locations

Locations (1)

Schuechtermann-Kliniken

🇩🇪

Bad Rothenfelde, Germany

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