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Catheter ablation versus Amiodarone to pRevent Future ventricular tachycardia Episodes in patients with a defibrillator and a history of a myocardial infarction.

Suspended
Conditions
Myocardial infarction, ICD Therapy, sustained VT
Registration Number
NL-OMON21395
Lead Sponsor
Isala Klinieken, Locatie Weezenlanden, Department of Cardiology
Brief Summary

/A

Detailed Description

Not available

Recruitment & Eligibility

Status
Suspended
Sex
Not specified
Target Recruitment
116
Inclusion Criteria

1. Prior myocardial infarction, at least 3 months ago;

2. ICD implantation for any cause except for: Brugada syndrome, ARVC, HCM, LQTS, SQTS, cathecholaminergic polymorphic VT, other channelopathies;

Exclusion Criteria

1. Age < 18 years;

2. Use of amiodarone more than 7 days before randomization within the period of 3 months before randomization. If a patient used amiodarone in preceding 3 months, the plasma levels of amiodarone and desethylamiodarone will be determined. If both levels are > 1mg/L the patient will be excluded from the study;

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Time to recurrence of sustained VT (longer that 30 seconds or with hemodynamic instability) or VF with or without documented ICD therapy (shock or ATP) for VT of VF during the follow-up period starting post ablation or after receiving amiodarone.
Secondary Outcome Measures
NameTimeMethod
1. Total number of ICD shocks during follow-up period;<br /><br>2. Number of VT’s recorded by the ICD;<br /><br>3. Quality of life (SF-36 score);<br /><br>4. Number of hospital readmissions due to a cardiovascular indication;<br /><br>5. Number of appropriate ICD therapies (including ATP);<br /><br>6. Number of appropriate ICD shocks;<br /><br>7. Number of inappropriate ICD therapies (including ATP);<br /><br>8. Number of inappropriate ICD shocks;<br /><br>9. Severe clinical events (death, syncope’s, electrical storm episodes (defined as > 3 sustained VT episodes within 24 hours) and cessation of amiodarone due to side-effects).
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