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Data Collection Study of Wedge Pressure Data in Patients With CRT-D Devices

Completed
Conditions
Heart Failure
Registration Number
NCT00811551
Lead Sponsor
Abbott Medical Devices
Brief Summary

zWedge is a clinical feasibility IDE study. The objective is to characterize the relationship between intra-thoracic impedance measurements obtained from a CRT-D device and pulmonary capillary wedge pressure (PCWP) measured via a right heart catheterization (RHC) acutely and over time.

Detailed Description

Intra-thoracic impedance will be obtained at programmed intervals by using an investigational monitoring feature in the CRT-D device. To obtain impedance values, the device delivers a sub-threshold impulse that measures the resistance between 2 electrodes.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
22
Inclusion Criteria
  • Have a SJM PROMOTE CRT-D (Model 3207 or other model with similar functioning) system that was implanted at least 4 months prior to enrollment for an approved indication per ACC/AHA/HRS guidelines.
  • Have the ability to provide written informed consent for study participation and be willing and able to comply with the prescribed follow-up tests and schedule of evaluation.
  • Have legally marketed bipolar right atrial and true bipolar right ventricular pacing defibrillation leads, and a legally marketed endocardial bipolar LV lead.
Exclusion Criteria
  • Be less than 18 years of age.
  • Have any medical condition that would interfere with intra-thoracic measurements such as end-stage pulmonary disease, advanced interstitial pulmonary disease, or frequent episodes of pneumonia.
  • Have a contraindication for right heart catheterization.
  • Have a contraindication for the delivery of IV Nitroglycerin.
  • Be pregnant or planning a pregnancy for the duration of their study participation.
  • Be currently participating in a clinical investigation that includes an active treatment arm.
  • Have a life expectancy of less than 12 months due to any condition.
  • Be unable to perform the Valsalva maneuver with airway pressure > 40 mm Hg for ≥10 seconds.
  • Are pacemaker dependent, where cessation of pacemaker function consistently results in syncope or ventricular asystole.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (7)

Little Rock Cardiology Clinic

🇺🇸

Little Rock, Arkansas, United States

The Emory Clinic - Crawford Long Hospital

🇺🇸

Atlanta, Georgia, United States

Midwest Heart Research Foundation

🇺🇸

Lombard, Illinois, United States

Colorado Springs Cardiology

🇺🇸

Colorado Springs, Colorado, United States

St. Thomas Hospital Heart

🇺🇸

Nashville, Tennessee, United States

Huntington Memorial Hospital

🇺🇸

Pasadena, California, United States

Lahey Clinic Medical Center

🇺🇸

Burlington, Massachusetts, United States

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