Assessment of Ventricular Arrhythmia Risk After CRT-D Replacement for Patients With Primary Prevention Indication
NCT02323503 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 289
Last updated 2020-03-31
Summary
Cardiac resynchronization therapy (CRT) has been shown to reduce heart failure (HF), hospitalizations and death in patients with left ventricular ejection fraction (LVEF) \<35% and wide QRS. CRT provides electromechanical resynchronization and improves LV systolic function. The induced LV reverse remodeling or near normalization in LVEF to ≥45% is associated with a significant reduction in the risk of subsequent life-threatening ventricular tachyarrhythmias (VTA). And at the time of replacement, the need for defibrillator back-up after an event-free first CRT-D service-life for patients with improved LVEF is a controversy question.
80% of Implantable Cardioverter Defibrillator (ICD) patients implanted for primary prevention do not experience VTA during the life-time of their first device.
So, regarding patients implanted with a CRT-D for primary prevention at the time of first implantation, the question is will they experience VTA after their device replacement by another CRT-D.
Conditions
- Cardiac Resynchronization
- Biventricular Pacemakers, Artificial
- Cardioverter-Defibrillators, Implantable
- Device Replacement
Interventions
- DEVICE
-
CRT-D device replacement
Sponsors & Collaborators
-
Biotronik SE & Co. KG
lead INDUSTRY
Principal Investigators
-
Daniel DG Gras, MD · Nouvelles Cliniques Nantaises, France
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-06-09
- Primary Completion
- 2020-02-12
- Completion
- 2020-02-12
Countries
- Belgium
- France
- Germany
- Hungary
- Israel
- Italy
- Portugal
- Spain
Study Locations
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