ISRCTN ISRCTN45146526
DOI https://doi.org/10.1186/ISRCTN45146526
Secondary identifying numbers MEC 03/033; NTR138
Submission date
06/12/2005
Registration date
06/12/2005
Last edited
10/04/2008
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Signs and Symptoms
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Study website

Contact information

Dr W Wieling
Scientific

Academic Medical Center
Department of Internal Medicine
Amsterdam
1105 AZ
Netherlands

Phone +31 (0)20 566 9111
Email w.wieling@amc.uva.nl

Study information

Study designRandomised multi-centre, active controlled, parallel group, single blinded trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific titleRandomised trial of optimal conventional therapy versus optimal conventional therapy plus counterpressure manoeuvres in patients with neurally-mediated syncope
Study acronymPC-Trial
Study objectivesIn patients with syncope and absence of significant structural heart disease, physical counter pressure manoeuvres decrease the total syncope burden compared to standardized intensive conventional therapy.
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedVasovagal syncope
InterventionPhysical counterpressure manoeuvres compared to standardised intensive conventional therapy.
Intervention typeOther
Primary outcome measureTotal burden of syncope recurrence (number of syncopal spells/year/patient).
Secondary outcome measures1. Time to first recurrence
2. Presyncope burden
3. Quality of life
Overall study start date05/01/2003
Completion date09/01/2005

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants200
Key inclusion criteria1. Clinical diagnosis of classical neurally-mediated reflex syncope, based on the medical history or non-classical diagnosis of neurally-mediated reflex syncope and a positive tilt-table test
2. Three syncope episodes in the last two years or at least one syncopal spell in the last year and at least three episodes of presyncope in the last year
3. Recognisable prodromal symptoms
4. Aged 16 - 70 years
Key exclusion criteria1. Suspected or certain heart disease and high likelihood of cardiac syncope:
1.1. Syncope preceded by palpitations or precordial pain
1.2. Syncope during exercise
1.3. Heart failure
1.4. Ejection fraction less than 40%
1.5. Old or recent myocardial infarction
1.6. Hypertrophic cardiomyopathy
1.7. Dilated cardiomyopathy
1.8. Significant valvular disease
1.9. Sinus bradycardia less than 50 bpm or sino-atrial blocks
1.10. Mobitz I second degree atrioventricular block
1.11. Mobitz II 2nd or 3rd degree atrioventricular block
1.12. Complete bundle branch block
1.13. Rapid paroxysmal supraventricular tachycardia or ventricular tachycardia
1.14. Pre-excited QRS complexes
1.15. Prolonged QT interval
1.16. Right bundle branch block pattern with ST-elevation in leads V1-V3 (Brugada syndrome)
1.1.7. Negative T waves in right precordial leads, epsilon waves and ventricular late potentials suggestive of arrhythmogenic right ventricular dysplasia)
2. Orthostatic hypotension
3. Episodes of loss of consciousness different from syncope (e.g. epilepsy, psychiatric, metabolic, drop-attack, transient ischemic attack [TIA], intoxication, cataplexy)
4. Steal syndrome
5. Psychologically or physically (due to any other illness) or cognitively unfit for participation in the study according to the opinion of the investigator
6. Patient compliance doubtful
7. Patient geographically or otherwise inaccessible for follow-up
8. Patient unwilling or unable to give informed consent
9. Pregnancy
10. Life expectancy less than one year
Date of first enrolment05/01/2003
Date of final enrolment09/01/2005

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Academic Medical Center
Amsterdam
1105 AZ
Netherlands

Sponsor information

Academic Medical Center (AMC) (The Netherlands)
University/education

Meibergdreef 9
Amsterdam
1105 AZ
Netherlands

Website http://www.amc.uva.nl
ROR logo "ROR" https://ror.org/03t4gr691

Funders

Funder type

Charity

Netherlands Heart Foundation (Nederlandse Hartstichting) (The Netherlands) (ref: 2003B156)

No information available

Academic Medical Center (AMC) (The Netherlands)
Private sector organisation / Universities (academic only)
Alternative name(s)
Academic Medical Center, AMC
Location
Netherlands

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article Results 17/10/2006 Yes No