Status:

UNKNOWN

Tailoring Pacemaker Output to Physiology in Chronic Heart Failure

Lead Sponsor:

University of Leeds

Conditions:

Chronic Heart Failure

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

Aims: To explore the clinical effect on exercise tolerance and quality of life, safety and tolerability of pacing at higher outputs in patients with chronic heart failure and a pacemaker. Background:...

Detailed Description

ORIGINAL HYPOTHESIS Increasing pacemaker left ventricular stimulation output is safe and well-tolerated, and increases acute and longer term exercise capacity and quality of life through improved left...

Eligibility Criteria

Inclusion

  • Symptomatic heart failure due to left ventricular systolic dysfunction (LVEF\<50%)
  • Willing and able to give informed consent
  • CRT-D or CRT-P device in situ (\>6 months)

Exclusion

  • Angina pectoris symptoms limiting exercise tolerance
  • Unstable heart failure symptoms (medical therapy changes in last three months)
  • Poor imaging quality (details of patients excluded for this reason will be recorded)
  • Calcium channel blocker use (these depress the force of contraction at all heart rates)
  • Uncontrolled heart rate (either atrial fibrillation or sinus rhythm (\>80bts/min))
  • Co-morbidities significantly affecting exercise or symptoms such as severe chronic airways disease or arthritis
  • Haemodynamically significant aortic stenosis

Key Trial Info

Start Date :

February 1 2020

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

August 1 2023

Estimated Enrollment :

70 Patients enrolled

Trial Details

Trial ID

NCT03781427

Start Date

February 1 2020

End Date

August 1 2023

Last Update

November 2 2022

Active Locations (1)

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1

Leeds General Infirmary

Leeds, United Kingdom