AV Delay Optimization vs. Intrinsic Conduction in Pacemaker Patients With Long PR Intervals
NCT02154750 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 23
Last updated 2025-07-24
Summary
This is a randomized, prospective clinical trial to determine the effects of two different pacemaker atrioventricular delay (AV delay) settings on heart function in patients with dual chamber pacemakers implanted for symptomatic bradycardia with long PR intervals (delayed conduction between upper and lower chambers of the heart). The study will compare a long, fixed AV delay (standard) with an optimized AV delay for each individual using echocardiography (experimental).
Conditions
- Atrioventricular Block
- Sick Sinus Syndrome
- Symptomatic Bradycardia
- Cardiac Arrhythmia
Interventions
- DEVICE
-
Long, fixed AV delay
Pacemaker will be set to a long, fixed AV delay to minimize ventricular pacing
- DEVICE
-
Short, optimized AV delay
Pacemaker will be set to the AV delay that produces the greatest cardiac output in echocardiography for each patient enrolled.
Sponsors & Collaborators
-
University of California, San Diego
lead OTHER
Principal Investigators
-
Gregory K Feld, MD · UCSD Electrophysiology
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-06-01
- Primary Completion
- 2021-12-31
- Completion
- 2021-12-31
- FDA Device
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Factors Affecting Selection of Leadless Pacemaker and Atrioventricular Synchronous Pacing Status
NCT06587672 ·Status: NOT_YET_RECRUITING
-
InterventiOn of Biventricular Pacemaker Function on ventrIcular Function Among Patients With LVAD's
NCT03232736 ·Status: COMPLETED
-
Physiological Versus Right Ventricular Outcome Trial Evaluated for Bradycardia Treatment Upgrades
NCT06052475 ·Status: RECRUITING ·Phase: NA
-
REsynchronization reVErses Remodeling in Systolic Left vEntricular Dysfunction (REVERSE)
NCT00271154 ·Status: COMPLETED ·Phase: NA
-
Clinical Benefit of Rigourous AV Delay Optimization in Patients With a Dual Chamber Pacemaker
NCT01998256 ·Status: COMPLETED ·Phase: NA
-
The Application of Negative Atrioventricular Hysteresis in Cardiac Resynchronization Therapy
NCT02903940 ·Status: COMPLETED
-
Progressive Ventricular Dysfunction Prevention in Pacemaker Patients
NCT00170326 ·Status: COMPLETED ·Phase: NA
-
Aveir DR Real-World Evidence Post-Approval Study
NCT05935007 ·Status: RECRUITING
-
Acute Evaluation of the Safety of Left Ventricular-left Ventricular (LV-LV) Delays and Its Effects on Mechanical Dyssynchrony
NCT01044784 ·Status: COMPLETED
-
Reprogramming to Prevent Progressive Pacemaker-induced Remodelling
NCT03627585 ·Status: COMPLETED ·Phase: NA
-
Post-market Prospective, Multicenter, Randomized and Single-blinded Clinical Investigation to Evaluate Whether Cardiac Re-Synchronization Therapy (CRT) Using Automatic Continuous Atrioventricular (AV) Delay Optimization is Superior to CRT With Conventional Biventricular Stimulation (BiV).
NCT06044597 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Efficacy Study of Pacemakers to Treat Slow Heart Rate in Patients With Heart Failure
NCT02145351 ·Status: COMPLETED ·Phase: NA
-
Electrophysiologic HV-interval as a Predicor for Permanent Pacemaker Implantation After TAVI
NCT01801098 ·Status: COMPLETED
-
Optimal Anti-tachycardia Therapy in Implantable Cardioverter-defibrillator (ICD) Patients Without Pacing Indications
NCT00729703 ·Status: COMPLETED ·Phase: PHASE4
-
Left Septal or Deep Septal Pacing to Prevent Pacing-induced Cardiomyopathy
NCT06474819 ·Status: RECRUITING ·Phase: NA
-
Response to Cardiac Resynchronization Therapy of Previously Right Ventricular Paced Heart Failure Patients
NCT01466621 ·Status: COMPLETED
-
Atrio-Ventricular (AV) Delay Optimization Using Echocardiography Versus the SonR Signal
NCT01287234 ·Status: COMPLETED ·Phase: NA
-
Infranodal Conduction Time During TAVR as Predictor of HAVB
NCT04128384 ·Status: UNKNOWN ·Phase: NA
-
Longitudinal Coverage With Evidence Development Study on Micra AV Leadless Pacemakers (Micra AV CED)
NCT04235491 ·Status: ACTIVE_NOT_RECRUITING
-
Study of the Loss of AV Synchrony at Maximum Exercise
NCT03859167 ·Status: TERMINATED
-
Physiologic Cardiac Pacing to Prevent Left Ventricular Dysfunction Post TAVI
NCT05966675 ·Status: RECRUITING ·Phase: NA
-
Assessment of Primary Prevention Patients Receiving An ICD - Systematic Evaluation of ATP
NCT02923726 ·Status: COMPLETED ·Phase: NA
-
Efficacy of a Pacemaker Algorithm in Promotion of the Intrinsic Heart Activity.
NCT00156741 ·Status: UNKNOWN ·Phase: PHASE4
-
Cardiac Resynchronization in the Elderly
NCT03031847 ·Status: COMPLETED ·Phase: NA
-
REmodeling the Left Ventricle With Atrial Modulated Pacing
NCT03210402 ·Status: COMPLETED ·Phase: NA