Prognostic Significance of T Wave Alternans
NCT00006501 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 549
Last updated 2015-12-23
Summary
To evaluate whether T Wave Alternans can predict ventricular arrhythmias and sudden cardiac death (SCD) in a prospective epidemiologic natural history study.
The prospective epidemiologic pilot study included 550 patients that had left ventricular dysfunction and no history of sustained ventricular arrhythmias. The primary hypothesis tested was whether there was an increased risk of having an arrhythmic event when T Wave Alternans was present in the patient. The secondary aims included comparing risk due to T Wave Alternans between the ischemic patients and non-ischemic patients and assessing whether T Wave Alternans remained an independent predictor of risk upon adjustment for other known risk factors for arrhythmic events such as ejection fraction, ventricular ectopy, NSVT, average NN interval, and RR interval variability.
The study approach was a standard epidemiologic surveillance technique. The subject population consisted of individuals with Class I to III heart failure who will underwent a TWA and Holter monitor test and then were followed for up to two years or until arrhythmic events occured.
Conditions
- Heart Diseases
- Ventricular Arrhythmia
- Ventricular Fibrillation
- Death, Sudden, Cardiac
- Heart Arrest
Interventions
- PROCEDURE
-
ECG
A diagnostic tool that is routinely used to assess the electrical and muscular functions of the heart (non-experimental).
Sponsors & Collaborators
-
National Heart, Lung, and Blood Institute (NHLBI)
collaborator NIH - lead OTHER
Principal Investigators
-
John Bigger · Professor Emeritus of Medicine and Pharmacology, Columbia University
-
John Bigger · Columbia University
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2003-01-31
- Primary Completion
- 2009-12-31
- Completion
- 2012-02-29
Countries
- United States
Study Locations
More Related Trials
-
Post-Extrasystolic Potentiation as a Predictor of Ventricular Arrhythmias
NCT03631303 ·Status: UNKNOWN
-
DESWT-Pilot Study on the Safety of Myocardial Regeneration by Direct Epicardial Shock Wave Therapy in Combination With Coronary Artery Bypass Grafting
NCT00741065 ·Status: UNKNOWN ·Phase: NA
-
Investigation of Transvenous Versus Epicardial Left Ventricular Stimulation Technique
NCT00819117 ·Status: COMPLETED ·Phase: NA
-
An-Art Study: Atrioventricular (AV) Node Ablation in Cardiac Resynchronisation Therapy
NCT00260546 ·Status: WITHDRAWN ·Phase: EARLY_PHASE1
-
Telemetric Arrhythmia and Syncope Diagnosis - Evaluation of Arrhythmia Treatment Efficacy
NCT01265303 ·Status: UNKNOWN ·Phase: NA
-
Ventricular Tachyarrhythmia (VT) Storm, Gene Expression in Implantable Cardioverter Defibrillator (ICD) Patients With Electrical Storm
NCT00284453 ·Status: COMPLETED
-
Differentiate AVNRT from Orthodromic AVRT
NCT06671145 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Early Ablation Therapy for the Treatment of Ischemic Ventricular Tachycardia in Patients With Implantable Cardioverter Defibrillators
NCT01557842 ·Status: TERMINATED ·Phase: PHASE4
-
Epidemiology of Symptomatic Arrhythmias
NCT00005237 ·Status: COMPLETED
-
Primary Preventive Ventricular Tachycardia Ablation In High-Risk Patients Who Receive A Prophylactic Implantable Cardioverter Defibrillator
NCT06543173 ·Status: RECRUITING ·Phase: NA
-
Impact of Catheter Ablation of Ventricular Arrhythmias on Suboptimal Biventricular Pacing in Cardiac Resynchronization Therapy
NCT04065893 ·Status: COMPLETED
-
Genetic Substudy of the Alternans Before Cardioverter Defibrillator (ABCD) Trial
NCT00583297 ·Status: COMPLETED
-
Telemetric Arrhythmia Diagnosis in Adults
NCT01265758 ·Status: UNKNOWN ·Phase: NA
-
Prognostic Value of Ventricular Fibrillation Spectral Analysis in Sudden Cardiac Death
NCT03248557 ·Status: COMPLETED
-
Treatment Study of AV Node Reentry Tachycardia
NCT04232371 ·Status: UNKNOWN ·Phase: NA
-
Defining the Risk of Ventricular Tachycardia in Genetic Forms of Early-onset Atrial Fibrillation
NCT06647459 ·Status: TERMINATED
-
Intracardiac Echocardiography Guided vs. Electroanatomical Mapping System Guided Slow Pathway Ablation in Patients With Atrioventricular Nodal Reentrant Tachycardia
NCT05907863 ·Status: COMPLETED ·Phase: PHASE4
-
T-Wave Alternans (TWA) Reproducibility in CAD Patients
NCT00644345 ·Status: UNKNOWN
-
ECG Algorithms for CRT Response Evaluation
NCT04061434 ·Status: COMPLETED
-
Better Mechanistic Understanding of and Risk Stratification for Ventricular Tachyarrhythmias Through ECGI
NCT04548804 ·Status: ENROLLING_BY_INVITATION ·Phase: NA
-
To Determine Optimal Time for Delivering Electrical Shocks to Cardiac Arrest Patients
NCT01665755 ·Status: COMPLETED ·Phase: NA
-
Left vs Left Randomized Clinical Trial
NCT05650658 ·Status: RECRUITING ·Phase: NA
-
Ablation Guided Via Precision Imaging Using Electromechanical Wave Imaging
NCT06577714 ·Status: ENROLLING_BY_INVITATION ·Phase: NA
-
Routine Mini-invasive Electrophysiology Study for Patients Feeling Tachycardia, With a Negative Holter ECG
NCT00251121 ·Status: COMPLETED ·Phase: NA
-
Ablation at Virtual-hEart pRedicted Targets for VT
NCT03536052 ·Status: COMPLETED ·Phase: NA