Actively Recruiting

Age: 18Years +
All Genders
ID00181233

Functional Energetics and Imaging for Phenotypic Characterization of Patients at Risk for Sudden Cardiac Death

Led by Johns Hopkins University · Updated on 2026-01-14

400

Participants Needed

1

Research Sites

73 weeks

Total Duration

On this page

Sponsors

J

Johns Hopkins University

Lead Sponsor

D

Donald W. Reynolds Foundation

Collaborating Sponsor

AI-Summary

What this Trial Is About

Sudden cardiac death is a serious condition affecting all age groups, and its occurrence is rising. This research evaluates whether new imaging methods, magnetic resonance imaging (MRI) and computed tomography (CT), can help identify patients at highest risk for sudden death. The study focuses on individuals with heart disease and weakened heart muscles who are at risk due to abnormal heart electrical activity. Participants are patients who have been recommended for an implantable cardioverter defibrillator (ICD) to prevent sudden death. This study observes these patients to see if MRI or multi-detector computed tomography (MDCT) scans can predict who might need the ICD to respond to dangerous heart rhythms. There is no experimental treatment; instead, the study collects imaging data alongside standard care. During the study, participants will undergo imaging tests and be monitored every six months for sudden cardiac death, cardiovascular death, and appropriate ICD discharges. Researchers will also track hospital admissions for heart failure. The study lasts over several years, with evaluations to understand the relationship between imaging findings and cardiac events, helping to identify patients at greatest risk.

CONDITIONS

Brief Title

Imaging Techniques for Identifying Factors of Sudden Cardiac Death Risk

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Left ventricular ejection fraction less than or equal to 35%
  • Planned implantable cardioverter-defibrillator (ICD) implantation for clinical indications (primary prevention)
Not Eligible

You will not qualify if you...

  • History of sudden death (secondary prevention)
  • Contraindication to undergoing MRI (such as metallic implant or pacemaker)

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Implementation

Duration - 1 day

Participants undergo implantation of an implantable cardioverter-defibrillator (ICD).

1 visit (in-person)

Imaging Visits

Duration - Up to 1 week

Participants receive imaging tests such as magnetic resonance imaging (MRI) or multi-detector computed tomography (MDCT) to assess risk factors for sudden cardiac death.

1 to 2 visits (in-person)

Long-term Monitoring

Duration - Up to 5 years

Participants are monitored over time to observe cardiac events and ICD performance, including sudden cardiac death risk and appropriate ICD discharges.

Visits every 6 months

Trial Site Locations

Total: 1 location

1

Johns Hopkins Medical Institutions

Baltimore, Maryland, United States, 21287

Actively Recruiting

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Research Team

B

Barbara Butcher, RN

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

0

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Published Research Related To This Trial

Myocardial ATP depletion detected noninvasively predicts sudden cardiac death risk in patients with heart failure.

T Jake Samuel, Shenghan Lai, Michael Schär...

https://pubmed.ncbi.nlm.nih.gov/35579938

Combined cardiac magnetic resonance imaging and C-reactive protein levels identify a cohort at low risk for defibrillator firings and death.

Katherine C Wu, Gary Gerstenblith, Eliseo Guallar...

https://pubmed.ncbi.nlm.nih.gov/22267750

Late gadolinium enhancement by cardiovascular magnetic resonance heralds an adverse prognosis in nonischemic cardiomyopathy.

Katherine C Wu, Robert G Weiss, David R Thiemann...

https://pubmed.ncbi.nlm.nih.gov/18565399