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Sleep-disordered breathing in patients with implanted cardiac devices: assessment of the change in sensitivity to carbon dioxide with cardiac resynchronisation therapy

Not Applicable
Completed
Conditions
Topic: Cardiovascular disease
Subtopic: Cardiovascular (all Subtopics)
Disease: Cardiovascular
Circulatory System
Registration Number
ISRCTN99704819
Lead Sponsor
Royal Brompton & Harefield NHS Trust (UK)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
40
Inclusion Criteria

1. Heart failure (of any aetiology) and a reduced ejection fraction (<40%) due to undergo implantation of a Boston Scientific biventricular pacemaker or defibrillator with the ApneaScan function
2. They must meet UK guidelines for biventricular pacemaker implantation
3. They should be on optimal medical therapy for heart failure
4. They must be aged 18 or over and be able to give valid written consent for this study
5. They must be ambulatory
Target Gender: Male & Female; Upper Age Limit 100 years ; Lower Age Limit 18 years

Exclusion Criteria

1. Patients receiving pacemakers without the ApneaScan function
2. Patients unable or unwilling to attend follow-up testing
3. Patients receiving devices for indications other than heart failure with reduced ejection fraction
4. Patients with obstructive sleep apnea already on continuous positive airway pressure (CPAP) therapy
5. Patients unable to walk

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Hypercapnic Ventilatory Response; Timepoint(s): Change in Minute Ventilation per unit rise in end tidal CO2
Secondary Outcome Measures
NameTimeMethod
Apnoeic-Hypopnoeic Index; Timepoint(s): Measured at 6 weeks and 6 months post-implantation of pacemaker
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