Status:

TERMINATED

The Danish Multicenter Randomised Study on AAI Versus DDD Pacing in Sick Sinus Syndrome

Lead Sponsor:

The DANPACE Investigator Group

Conditions:

Sick Sinus Syndrome

Eligibility:

All Genders

18+ years

Phase:

PHASE2

PHASE3

Brief Summary

Hypothesis Treatment with rate adaptive single chamber atrial pacing (AAIR) reduces the risk of death compared with rate adaptive dual chamber pacing (DDDR) in patients with sick sinus syndrome (SSS)....

Detailed Description

Background In patients with isolated SSS, who need pacemaker treatment, any pacemaker can be used to treat the symptomatic bradycardia: a single chamber atrial (AAI) pacemaker, a single chamber ventri...

Eligibility Criteria

Inclusion

  • General:
  • A. Undergoing primary pacemaker implantation B. Able to appear for outpatient follow-up C. Age \> 18 years
  • Symptoms:
  • D. Syncope or E. Dizzy spells or F. Congestive heart failure
  • Electrocardiographic:
  • G. Sinus bradycardia \<40/minute for at least 1 minute in a conscious awake state or H. Sinus arrest/sinoatrial block \>2 seconds or I. Bradycardia/tachycardia with sinus-pauses \>2 seconds

Exclusion

  • Clinical:
  • A. Malignant disease. B. Severe psychogenic disease including severe decrepitude and dementia. C. Impending larger operation expected to influence the major end point. D. Cardiac disorder expected to need cardiac surgery during the follow-up period.
  • E. Need for other device implantation: ICD (implantable cardioverter defibrillator) or implantable DC converter (for atrial fibrillation).
  • F. Carotid sinus syndrome (positive carotid sinus massage with pauses \>3 seconds).
  • Electrocardiographic:
  • G. Atrioventricular block. H. Bundle-branch block (complete RBBB, LBBB, bifascicular bundle-branch block or non-specific intraventricular block with QRS \>0.12 seconds).
  • I. Chronic atrial fibrillation. J. Atrial fibrillation/atrial flutter with QRS pauses \>3 seconds during atrial fibrillation.
  • K. Atrial fibrillation/atrial flutter with QRS frequency \<40/minute for 1 minute.

Key Trial Info

Start Date :

March 1 1999

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

July 1 2010

Estimated Enrollment :

1415 Patients enrolled

Trial Details

Trial ID

NCT00236158

Start Date

March 1 1999

End Date

July 1 2010

Last Update

February 24 2009

Active Locations (1)

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1

Department of Cardiology, Skejby Sygehus, Aarhus University Hospital

Aarhus, Denmark, DK-8200