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APART: Prevention and Automatic Therapy of Atrial Arrhythmias in Patients With Paroxysmal Supraventricular Tachycardias

Not Applicable
Completed
Conditions
Tachyarrhythmia
Registration Number
NCT00170274
Lead Sponsor
Medtronic Cardiac Rhythm and Heart Failure
Brief Summary

The goal of APART is the assessment of the therapeutic and preventive stimulation algorithms of the Medtronic AT500 and following devices in patients with atrial tachyarrhythmias and an indication for cardiac pacing according to the German guidelines. Medication is controlled throughout the study with a beta-blocker as the only antiarrhythmic drug.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
156
Inclusion Criteria
  • Indication for cardiac pacing according to the German guidelines
  • Documented (electrocardiogram; ECG) atrial arrhythmia during the last three months before enrollment
  • Willingness to terminate antiarrhythmic drugs until the first recurrence of an atrial arrhythmia
  • Sinus rhythm during 24 hours before implant of the device
Exclusion Criteria
  • Ejection fraction below 40%
  • Mechanic prosthesis of the tricuspid valve
  • Indication to implantable cardioverter defibrillator (ICD)-implantation
  • Pregnancy

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Incidence of symptomatic and/or persistent re-occurrences of atrial arrhythmias2 years
Time to first re-occurrence of first symptomatic or persistent atrial arrhythmia2 years
Secondary Outcome Measures
NameTimeMethod
Atrial fibrillation (AF)-burden2 years
Time interval between persistent episodes during the follow-up period2 years
Reduction of the total amount of tachyarrhythmias stored in the event counter of the implanted device2 years
Quality of life2 years
Necessity and date of a specific antiarrhythmic therapy and/or prescription of antiarrhythmic drugs class I and II2 years
Incidence in different pacing modes [AAI, DDD(R)]2 years
Evaluation of possible atrial proarrhythmic effects of the termination algorithms2 years
Cost-efficiency2 years

Trial Locations

Locations (6)

Segeberger Kliniken

🇩🇪

Bad Segeberg, Germany

Kath. Krankenhausgemeinschaft GmbH, Philippusstift Essen

🇩🇪

Essen, Germany

Krankenhaus Marienhof

🇩🇪

Koblenz, Germany

Klinikum der Stadt Ludwigshafen

🇩🇪

Ludwigshafen, Germany

Universitätsklinik Lübeck Schleswig-Holstein, Campus Lübeck

🇩🇪

Lübeck, Germany

Universitätsklinik Mannheim

🇩🇪

Mannheim, Germany

Segeberger Kliniken
🇩🇪Bad Segeberg, Germany

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