Impact of Atrioventricular Delay Optimization on Ventricular Function in Conduction System Pacing
NCT07624552 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 39
Last updated 2026-06-08
Summary
Conduction system pacing has emerged as a physiological pacing strategy that preserves ventricular electrical activation and minimizes pacing-induced dyssynchrony. However, the optimal atrioventricular delay setting in patients undergoing conduction system pacing remains uncertain.
This study aims to evaluate the effects of individualized echocardiography-guided atrioventricular delay optimization on ventricular function and hemodynamic performance in patients with conduction system pacing. Echocardiographic parameters including global longitudinal strain, left ventricular ejection fraction, left ventricular outflow tract velocity-time integral, cardiac output, and diastolic function indices will be assessed before and after atrioventricular delay optimization.
The study will investigate whether optimization of atrioventricular timing provides additional mechanical and hemodynamic benefits beyond physiological ventricular activation achieved by conduction system pacing alone.
Conditions
- Atrioventricular Block
- Conduction System Pacing
Interventions
- DEVICE
-
Echocardiography-Guided Atrioventricular Delay Optimization
Atrioventricular delay settings are individually optimized using echocardiographic assessment of transmitral inflow and ventricular filling patterns. Device programming is adjusted to achieve optimal atrioventricular coupling and ventricular performance.
Sponsors & Collaborators
-
Bursa Yuksek Ihtisas Training and Research Hospital
lead OTHER_GOV
Principal Investigators
-
Ahmet Tütüncü · Bursa Yuksek Ihtisas Training and Research Hospital
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-10-06
- Primary Completion
- 2026-02-17
- Completion
- 2026-02-17
Countries
- Turkey (Türkiye)
Study Locations
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