MedPath

CRTd Responders Optimization

Completed
Conditions
Heart Failure With Reduced Ejection Fraction
Cardiac Death
Heart Failure
Interventions
Other: echocardiographic optimization of CRTd
Registration Number
NCT04547244
Lead Sponsor
University of Campania "Luigi Vanvitelli"
Brief Summary

Suboptimal optimization of atrio-ventricular (AV) and inter-ventricular (VV) timings could affect the clinical response of CRTd in T2DM patients. Thus, authors hypothesize that automatic sensor guided CRTd optimization could ameliorate clinical outcomes in patients with T2DM. However, authors will evaluate the effects of cardiac resynchronization therapy (CRTd) in patients with type 2 diabetes mellitus (T2DM) optimized via automatic vs. echocardiographic guided approach.Authors will conduct a prospective, multicenter study to recruit, from October 2016 to June 2019, patients with T2DM and heart failure (HF) candidate to receive a CRTd. After CRTd the patients will be optimized via automatic vs. echocardiographic guided approach.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
200
Inclusion Criteria
  • heart failure with reduced cardiac pump, NYHA class II/III, indication to receive a CRTd.
Exclusion Criteria
  • NYHA class IV, previous CRTD implantation, neoplastic disease, inflammatory chronic disease.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
T2DM patients with CRTd with echocardiographic optimizationechocardiographic optimization of CRTdIn this cohort the T2DM patients with CRTd will receive at follow-up an echocardiography guided optimization of CRTd.
Primary Outcome Measures
NameTimeMethod
CRTd responders rate12 months

The authors will evaluate the CRTd responders rate in terms of patients that will experience the reduction of NYHA class, improvement of HF symptoms, and improvement of left ventricle ejection fraction.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Celestino Sardu

🇮🇹

Napoli, Italy

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