Status:

COMPLETED

Risk of Pacing-induced Cardiomyopathy

Lead Sponsor:

Aalborg University Hospital

Collaborating Sponsors:

Svend Andersens Foundation

Peacs

Conditions:

Pacemaker DDD

Atrioventricular Block

Eligibility:

All Genders

18-90 years

Brief Summary

This study will evaluate the association between right ventricular pacing and the risk of pacing-induced cardiomyopathy.

Detailed Description

Background: Right ventricular (RV) pacing may lead to pacing-induced cardiomyopathy (PICM) and heart failure (HF). The detrimental effects of RV pacing have been attributed to the abnormal and dyssyn...

Eligibility Criteria

Inclusion

  • Male or female ≥ 18 years
  • De novo DDD PM implanted at Aalborg University Hospital
  • PM implantation due to advanced AV block
  • Duration of pacemaker treatment ≥ 1 year at time of screening
  • Normal LVEF (≥50%) prior to PM implantation
  • Actively attending follow-up at the PM outpatient clinic at Aalborg University Hospital after PM implantation

Exclusion

  • No written informed consent
  • Baseline TTE not available or insufficient quality for assessment of LVEF
  • Contraindications to a new contrast CT if no previous contrast-enhanced cardiac CT, showing RV lead position, is available
  • RV pacing load \< 40%.
  • Deceased
  • Not attending follow-up at the PM outpatient clinic at Aalborg University Hospital after PM implantation
  • Device complications with removal of original implanted pacing lead \> 3 months after primary implantation
  • Subjects with severe ischemic heart disease and severe valvular heart disease.
  • Terminal illness or unable to provide informed consent at time of screening

Key Trial Info

Start Date :

May 1 2020

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

August 1 2021

Estimated Enrollment :

153 Patients enrolled

Trial Details

Trial ID

NCT04269733

Start Date

May 1 2020

End Date

August 1 2021

Last Update

August 12 2021

Active Locations (1)

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Department of Cardiology, Aalborg University Hospital

Aalborg, Denmark, 9000