Impact of Optimized Pacing Strategies on Clinical and Hemodynamic Outcomes in Heart Failure Patients With Pacemaker
NCT07563153 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 106
Last updated 2026-05-01
Summary
This study aims to evaluate the clinical impact of an optimized pacing strategy in patients with heart failure.
* Intervention: Adjustment of the pacemaker lower rate limit to an individualized, hemodynamically optimized heart rate.
* Primary Endpoint: Heart failure symptoms, assessed by the Kansas City Cardiomyopathy Questionnaire score.
* Hypothesis: In patients with heart failure requiring permanent pacing, an optimized pacing strategy will lead to a significant improvement in heart failure symptoms (Kansas City Cardiomyopathy Questionnaire score) at 12 months compared with the conventional pacing strategy.
Conditions
- Heart Failure
- Bradycardia
Interventions
- PROCEDURE
-
Adjustment of the pacemaker/ICDs lower rate limit (LRL)
Optimized Pacing Strategy
- PROCEDURE
-
Conventional lower rate (60bpm)
Conventional Pacing Strategy
Sponsors & Collaborators
-
Samsung Medical Center
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 19 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-12-18
- Primary Completion
- 2028-12-31
- Completion
- 2028-12-31
Countries
- South Korea
Study Locations
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