INSIGHT (R)XT. Indications for Diagnosis, Arrhythmia and Monitoring of Reveal XT

Completed

• Conditions: Atrial Fibrillation; Cardiac Arrhythmias

• Registration Number: NCT00680550
• Lead Sponsor: Medtronic BRC

Brief Summary

To describe the clinical indications for Reveal XT in diagnosis and continuous monitoring of arrhythmia and to explore the clinical applications and outcome of arrhythmia monitoring on patient care.

Detailed Description

Improving the diagnosis and management of cardiac rhythm disturbances remains a major challenge for physicians. Limitations of current cardiac arrhythmia monitoring using ECG, holters or event recorders are that these methods are non-continuous and/or automatic arrhythmia detection is often impossible. The Medtronic Reveal XT Insertable Cardiac Monitor is a programmable device which continuously monitors the patient's subcutaneous ECG and provides information regarding arrhythmia episodes, long term trending of AF burden, patient's activity and heart rate variability. The Reveal XT records cardiac information in response to patient activation and automatically detected arrhythmias thereby offering advantages over conventional tools for long-term arrhythmia monitoring with regard to compliance and recording time.

The clinical applications for Reveal XT are varied. Diagnostic, arrhythmia monitoring and arrhythmia management functions can be discriminated.

This study is a prospective, observational, multicenter international post-market study. The results of this study will describe the different patient groups for which the Reveal XT is being used for the diagnosis and monitoring of various cardiac arrhythmias. This study will also collect data regarding the clinical consequences of using the Reveal XT and the influence of Reveal XT data on clinical care pathways. The physician as well as the patient's satisfaction with the device will be evaluated. The study will be conducted in 60-100 centers primarily in Europe. It is expected that 800-1000 patients will be enrolled.

Study Timeline

• Study Start: 2008-04
• Study First Submitted: 2008-05-15
• Study First Submitted QC: 2008-05-19
• Study First Posted: 2008-05-20
• Primary Completion: 2013-04
• Study Completion: 2013-04
• Status Verified: 2013-10
• Last Update Submitted: 2013-10-15
• Last Update Posted: 2013-10-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1003

Inclusion Criteria

• Patient implanted or scheduled for an implant with a Reveal XT Insertable Cardiac Monitor System for arrhythmia diagnosis or monitoring
• Patient must be willing to sign a Patient Data Release Form (or Informed Consent where applicable)

Exclusion Criteria

• Enrollment outside a 30-day window from the planned/performed Reveal XT implant procedure (from 15 days pre-implant until 15 days post implant)
• Patient is implanted with a pacemaker, ICD, CRT-device or an implantable hemodynamic monitoring system
• Unwillingness or inability to cooperate or give written informed consent or, if the patient is a minor and the legal guardian refuses to give consent

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
descriptive: clinical indications for Reveal XT	2008-2012	To describe the patient population implanted with a Reveal XT for arrhythmia diagnosis and monitoring

Trial Locations

Locations (55)

Republican Scientific Practical Center; 🇧🇾 Minsk, Belarus

Kardiologicka ambulance; 🇨🇿 Ostrava, Czech Republic

Ziekenhuis De Tjongerschans; 🇳🇱 Heerenveen, Netherlands

Medisch Centrum Leeuwarden; 🇳🇱 Leeuwarden, Netherlands

Centro Hospitalar do Porto - Hospital de Santo Antonio; 🇵🇹 Porto, Portugal

Arytmologicke oddelenie VUSCH; 🇸🇰 Kosice, Slovakia

Medizinische Hochshule; 🇩🇪 Hannover, Germany

Klinik Augustinum; 🇩🇪 München, Germany

Kardiocentrum; 🇩🇪 Frankfurt, Germany

Herzzentrum Dresden; 🇩🇪 Dresden, Germany

Zentralklinik Bad Berka; 🇩🇪 Bad Berka, Germany

Kardiologische Praxis; 🇩🇪 Dessau, Germany

Klinikum Coburg; 🇩🇪 Coburg, Germany

Universitatsklinikum; 🇩🇪 Freiburg, Germany

Universitaetsklinikum Tuebingen; 🇩🇪 Tuebingen, Germany

Klinkum Wels-Grieskirchen GmbH; 🇦🇹 Wels, Austria

Universitätsklinik für Innere Medizin; 🇦🇹 Wien, Austria

Fakultni nemocnice Brno; 🇨🇿 Brno, Czech Republic

Asklepios Klinik; 🇩🇪 Hamburg-Harburg, Germany

Krankenhaus der Elisabethinen; 🇦🇹 Linz, Austria

Tampere University Hospital; 🇫🇮 Tampere, Finland

Fakultni nemocnice u sv. Anny v Brne; 🇨🇿 Brno, Czech Republic

Klinikum der Universität München-Großhadern (LMU); 🇩🇪 München, Germany

Hopital Cantonal Universitaires de Geneve; 🇨🇭 Geneve, Switzerland

Liverpool Heart and Chest Hospital; 🇬🇧 Liverpool, United Kingdom

St.-Marien-Hospital; 🇩🇪 Bonn-Venusberg, Germany

St. Johannes Hospital; 🇩🇪 Hagen, Germany

Universitares Herzzentrum; 🇩🇪 Hamburg, Germany

Klinikum Nürnberg Süd; 🇩🇪 Nürnberg, Germany

Herzzentrum, University of Leipzig; 🇩🇪 Leipzig, Germany

St. Martinus Hospital; 🇩🇪 Olpe, Germany

DRK-Krankenhaus Mölln-Ratzeburg; 🇩🇪 Ratzeburg, Germany

Krankenhaus Barmherzige Brueder; 🇩🇪 Regensburg, Germany

Krankenhaus Reinbek, St.-Adolf-Stift; 🇩🇪 Reinbek, Germany

Azienda Ospedaliera Universitaria Careggi; 🇮🇹 Florence, Italy

Gelre Apeldoorn; 🇳🇱 Apeldoorn, Netherlands

Bethesda Ziekenhuis; 🇳🇱 Hoogeveen, Netherlands

Westfries Gasthuis; 🇳🇱 Hoorn, Netherlands

Vlietland Ziekenhuis; 🇳🇱 Schiedam, Netherlands

Diakonessenhuis Utrecht; 🇳🇱 Utrecht, Netherlands

Maasland Ziekenhuis; 🇳🇱 Sittard, Netherlands

Tyumen Cardiology Centre; 🇷🇺 Tyumen, Russian Federation

Almazov Federeal Heart, Blood and Endocrinology Centre; 🇷🇺 St. Petersburg, Russian Federation

Scientific Research Center of Cardio Vascular Surgery by A.N. Bakulev; 🇷🇺 Moscow, Russian Federation

State Research Institute of Circulation Pathology; 🇷🇺 Novosibirsk, Russian Federation

University Hospital Örebro; 🇸🇪 Örebro, Sweden

University Medical Center Ljubljana; 🇸🇮 Ljubljana, Slovenia

Complejo Hospitalario Universitario de Vigo; 🇪🇸 Vigo, Spain

Hopital Cantonal de Fribourg; 🇨🇭 Fribourg, Switzerland

Hopital de Pourtales de Neuchatel; 🇨🇭 Neuchatel, Switzerland

Hopital de Sion CHCVS; 🇨🇭 Sion, Switzerland

Sheikh Khalifa Medical Center; 🇦🇪 Abu Dhabi, United Arab Emirates

UniversitatsSpital; 🇨🇭 Zurich, Switzerland

Uniklinik Homburg - Klinik fur Innere Medizin III; 🇩🇪 Homburg, Germany

Universitätsklinikum Münster; 🇩🇪 Münster, Germany