A Single Center Prospective Study in an Estimated 570 Patients Who Underwent Genetic Screening at UZ Brussel in the Context of a Primary Cardiac Arrhythmia. Patients Showing a Variant Class 3,4 or 5 in SCN4A or CLCN1 Will Undergo a Clinical and Electrophysiological Review After IC.
NCT07183059 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 570
Last updated 2025-12-01
Summary
A prospective interventional single-center study will be conducted. The study includes clinically diagnosed Intramuros PCA-patients who underwent a PCA gene panel of 113 genes (see Appendix 1) in the UZ-Brussel since 2021. In a retrospective part of the study, we will assess cardiac history, cardiac family history, cardiac exams and medical treatment and genetic data and family history. The prevalence of a class 3, 4 or 5 variant in the SCN4A and CLCN1 gene in the PCA-group will be compared to controls who underwent genetic screening for different causes, in which no association with muscular channelopathies is expected, without access to their medical file. In a prospective part of the study, patients with PCA carrying a variant class 3,4 or 5 in the SCN4A gene or a variant class 3, 4 or 5 in the CLCN1 gene will be invited for a one day visit for an interview, clinical neurological assessment and EMG. The aim of this second phase is to describe the clinical presentation of patients with concomitant PCA and non-dystrophic myotonia .
Conditions
- Non Dystrophic Myotonia
- Arrythmia, Cardiac
Interventions
- DIAGNOSTIC_TEST
-
Electromyography
we will perform questionnaire, clinical neurological exam, nEMG and if applicable short exercise test on patients with variants in genes associated with mus-cular channelopathies. Safety Monitoring and reporting: Needle EMG is generally well-tolerated, but transient mild proce-dural pain and discomfort are widespread and the most frequent side effect that patients will ex-perience. Hematomas are infrequent and, in most cases, asymptomatic and selflimiting. Moreover, the bleeding risk is reduced by the investigator's experience, testing superficial muscles (avoiding complications like compartment syndrome), and by not conducting an EMG when patient is treated with anticoagulants. Infectious complications at the site of needle insertion are extremely infre-quent since disposable needle electrodes are used. Needle insertion is avoided in in-jured/potential infected skin and will not be performed in immune-compromised patients and endocarditis risk.
Sponsors & Collaborators
-
Universitair Ziekenhuis Brussel
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- DIAGNOSTIC
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 100 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-12-15
- Primary Completion
- 2026-09-30
- Completion
- 2027-09-30
More Related Trials
-
Noninvasive Electrocardiographic Imaging for Individuals at Risk for Apparently Idiopathic Ventricular Fibrillation.
NCT03963271 ·Status: UNKNOWN
-
Validation of Kinocardiography, a New Technology Measuring Cardiac Mechanical Activity Via Accelerometers and Gyroscopes
NCT04772807 ·Status: COMPLETED
-
Molecular Genetic Screening and Identification of Congenital Arrhythmogenic Diseases
NCT00221832 ·Status: UNKNOWN
-
Hypertrophic Cardiomyopathy Pilot Study
NCT02806479 ·Status: COMPLETED
-
China Structural Ventricular Arrhythmias Registry
NCT03821051 ·Status: RECRUITING
-
Efficacy of a Right-sided Ablation of the Anterior Ganglionated Plexus for Neurally Mediated Syncope
NCT04755101 ·Status: RECRUITING ·Phase: NA
-
Electrocardiographic and Cardiac Magnetic Resonance Predictors of Ventricular Arrhythmias in Cardiomyopathic Patients
NCT05078125 ·Status: UNKNOWN
-
Defining the Risk of Ventricular Tachycardia in Genetic Cardiomyopathies
NCT06575881 ·Status: RECRUITING
-
Defining the Risk of Ventricular Tachycardia in Genetic Forms of Early-onset Atrial Fibrillation
NCT06647459 ·Status: TERMINATED
-
Reversal of Cardiomyopathy by Suppression of Frequent Premature Ventricular Complexes
NCT01566344 ·Status: UNKNOWN ·Phase: NA
-
A Prospective Incident Study of Arrhythmias in Hypertrophic Cardiomyopathy
NCT04112290 ·Status: ACTIVE_NOT_RECRUITING
-
UZ Brussel HRMC Registry of Brugada Syndrome
NCT05283759 ·Status: RECRUITING
-
Pulmonary Hypertension and Arrhythmia
NCT05496504 ·Status: COMPLETED
-
Gravitational Arrhythmogenesis Can the Often-heard Symptom of Body Position Dependent Palpitations be Proven
NCT05347953 ·Status: UNKNOWN
-
Bi-ventricular Epicardial Activation in Left Bundle Area Pacing: a Comparison Study
NCT05401851 ·Status: UNKNOWN ·Phase: NA
-
DNA Analysis From Isolated Cardiomyocytes in the Molecular Diagnosis of Arrhythmogenic Right Ventricular Cardiomyopathy/Dysplasia
NCT03177018 ·Status: COMPLETED ·Phase: NA
-
Better Mechanistic Understanding of and Risk Stratification for Ventricular Tachyarrhythmias Through ECGI
NCT04548804 ·Status: ENROLLING_BY_INVITATION ·Phase: NA
-
Neuromonitoring During Rapid Ventricular Pacing in Patients Undergoing Cerebral Aneurysm Surgery
NCT03185091 ·Status: COMPLETED ·Phase: NA
-
Risk of Syncopal Relapses in Patients Treated With Permanent Pacing for Bradyarrhythmic Syncope
NCT04229589 ·Status: UNKNOWN
-
China Inherited Ventricular Arrhythmias Registry
NCT03880708 ·Status: RECRUITING
-
Evaluation of VDD Leadless Pacing System During Exercise
NCT06094114 ·Status: COMPLETED
-
N-of-1 in ATS and MEPPC
NCT06205550 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Screening of ATTRwt in Patient With Advanced AV-Block Undergoing Pacemaker Implantation
NCT05699044 ·Status: UNKNOWN
-
Cardiac ResynchronizatiOn and arrhythmiaS Sensing Via the LEFT Bundle.
NCT05102227 ·Status: UNKNOWN
-
Characterization of Left Atrial Substrate by Comparison of Bipolar Voltage Maps With Standard Focal 4.5 mm Tip Electrode, 1 mm Ring Electrode, and Microelectrode Catheters Using InTEllaMap Orion and IntellaNav MIFI O
NCT04095559 ·Status: COMPLETED