Sub-threshold Ventricular Back-up Pacing to Prevent Pacemaker-induced Ventricular Tachycardia
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Ventricular Tachyarrhythmias
- Sponsor
- Johannes Gutenberg University Mainz
- Enrollment
- 550
- Locations
- 1
- Primary Endpoint
- Occurrence of VT requiring ICD shock
- Status
- Completed
- Last Updated
- 12 years ago
Overview
Brief Summary
Implantable cardioverter defibrillators (ICD) may have the capacity to provoke or worsen ventricular tachyarrhythmias (VT). It has been reported that ICD shocks by itself can increase mortality. This study aimed to determine the role of back-up pacing-induced VT (PIT) to the overall ICD shock burden by avoiding pause-related ventricular back-up pacing by programming the pacing output to a sub-threshold level for ineffective pacing.
Investigators
Thomas Rostock
Univ.-Prof. Dr. med.
Johannes Gutenberg University Mainz
Eligibility Criteria
Inclusion Criteria
- •age \> 18 years
- •implanted ICD
- •occurrence of pacemaker-induced VT
Exclusion Criteria
- •documentation of pause-related syncope
- •sick-sinus syndrome
- •younger than 18 years
Outcomes
Primary Outcomes
Occurrence of VT requiring ICD shock
Time Frame: 48 months follow-up
Patients were followed-up for the occurrence of ventricular tachycardia requiring ICD shock therapy
Secondary Outcomes
- Type of arrhythmia / Number of arrhythmia(48 months)