Preventive aBlation of vEntricular tachycaRdia in Patients With myocardiaL INfarction
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Ventricular Tachycardia
- Sponsor
- Biotronik SE & Co. KG
- Enrollment
- 163
- Locations
- 5
- Primary Endpoint
- Time to first event comprising all-cause mortality, unplanned hospital admission for congestive heart failure and unplanned hospital admission for symptomatic ventricular tachycardia (VT)/ ventricular fibrillation (VF)
- Status
- Terminated
- Last Updated
- 6 years ago
Overview
Brief Summary
The BERLIN VT study is designed to evaluate the impact of prophylactic ventricular tachycardia (VT) ablation on all-cause mortality and unplanned hospital admission for congestive heart failure or symptomatic ventricular tachycardia/ventricular fibrillation (VF) when compared to VT ablation after the third appropriate implantable cardioverter-defibrillator (ICD) shock.
Investigators
Eligibility Criteria
Inclusion Criteria
- •History of remote myocardial infarction
- •Left ventricular ejection fraction ≥ 30 to ≤ 50 % as estimated by cardiac MRI, 3D-echocardiography or via ventriculography within 30 days before enrollment
- •Documentation of sustained ventricular tachycardia (VT) by any kind of Electrocardiography (ECG) including 12 lead ECG, holter ECG, rhythm strip, event monitoring, event recorder or pacemaker within 30 days before enrollment
- •Implantable cardioverter-defibrillator (ICD) indication for secondary prevention
- •Patients who are planned to be implanted with BIOTRONIK ICDs (single, dual, triple chamber or DX device)
- •Patient has provided written informed consent
- •Patient accepts activation of Home Monitoring®
Exclusion Criteria
- •Age \< 18 years or \> 80 years
- •Known arterial or venous thrombosis
- •Class IV New York Heart Association (NYHA) heart failure
- •Valvular heart disease or mechanical heart valve precluding access to the left ventricle
- •Acute myocardial reinfarction or acute coronary syndrome
- •Cardiac surgery involving cardiotomy within the past 2 months
- •Patients requiring chronic renal dialysis
- •Thrombocytopenia or coagulopathy
- •Incessant VT or electrical storm
- •Bundle branch reentry tachycardia as the presenting VT
Outcomes
Primary Outcomes
Time to first event comprising all-cause mortality, unplanned hospital admission for congestive heart failure and unplanned hospital admission for symptomatic ventricular tachycardia (VT)/ ventricular fibrillation (VF)
Time Frame: From randomization until official study end or drop-out, patients will be followed and assessed for primary endpoint events and Time-to-Event Outcome Measures for an expected average of 30 months.
Secondary Outcomes
- Time to first inappropriate implantable cardioverter-defibrillator (ICD) therapy(From randomization until official study end or drop-out, patients will be followed and assessed for primary endpoint events and Time-to-Event Outcome Measures for an expected average of 30 months.)
- Time to first unplanned cardiac hospitalization(From randomization until official study end or drop-out, patients will be followed and assessed for primary endpoint events and Time-to-Event Outcome Measures for an expected average of 30 months.)
- Time to cardiac mortality(From randomization until official study end or drop-out, patients will be followed and assessed for primary endpoint events and Time-to-Event Outcome Measures for an expected average of 30 months.)
- Time to first appropriate implantable cardioverter-defibrillator (ICD) therapy(From randomization until official study end or drop-out, patients will be followed and assessed for primary endpoint events and Time-to-Event Outcome Measures for an expected average of 30 months.)
- Time to first unplanned all-cause hospitalization(From randomization until official study end or drop-out, patients will be followed and assessed for primary endpoint events and Time-to-Event Outcome Measures for an expected average of 30 months.)
- Changes in quality of life / mental(12 months)
- Changes in quality of life / physical(12 months)
- Time to first sustained ventricular tachycardia (VT)/ ventricular fibrillation (VF)(From randomization until official study end or drop-out, patients will be followed and assessed for primary endpoint events and Time-to-Event Outcome Measures for an expected average of 30 months..)
- Time to all-cause mortality(From randomization until official study end or drop-out, patients will be followed and assessed for primary endpoint events and Time-to-Event Outcome Measures for an expected average of 30 months.)