Prediction of clinical improvement following biventricular pacing in patients with end-stage heart failure using tissue doppler echocardiography

ISRCTN ISRCTN09353557
DOI https://doi.org/10.1186/ISRCTN09353557
Secondary identifying numbers NTR482
Submission date
26/02/2007
Registration date
26/02/2007
Last edited
14/10/2008
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr J J Bax
Scientific

Leiden University Medical Centre (LUMC)
Department of Cardiology
P.O. Box 9600
Albinusdreef 2
Leiden
2300 RC
Netherlands

Phone +31 (0)71 526 2020
Email j.j.bax@lumc.nl

Study information

Study designNon-randomised, non-controlled, clinical trial
Primary study designInterventional
Secondary study designSingle-centre
Study setting(s)Hospital
Study typeScreening
Scientific title
Study objectivesIn patients with end-stage heart failure (New York Heart Association [NYHA] class III or IV, left ventricular ejection fraction [LVEF] less than 35%, QRS duration more than 120 ms, left bundle branch block [LBBB]), the dyssynchrony of the left ventricle is the most important predictor of clinical benefit. The dyssynchrony of the left ventricle can be assessed (at any time before implantation) non-invasively by tissue doppler imaging (TDI). Thus, information on dyssynchrony derived from TDI may predict clinical benefit from bi-ventricular pacing (BVP).
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedHeart disease, heart failure
InterventionPatients will undergo BVP implantation based on traditional selection criteria. Maximal oxygen uptake (VO2 max) and TDI will be performed before and three months after BVP implantation. From these patients the TDI criteria which optimally predict clinical improvement (in VO2 max) will be derived.
Intervention typeOther
Primary outcome measureTo develop non-invasive selection criteria (using echocardiography) to identify patients with end-stage heart failure who are likely to benefit from biventricular pacing.
Secondary outcome measuresNo secondary outcome measures
Overall study start date01/05/2003
Completion date01/05/2007

Eligibility

Participant type(s)Patient
Age groupNot Specified
SexNot Specified
Target number of participants60
Key inclusion criteria1. Severe heart failure (NYHA class III or IV)
2. Severely depressed LVEF less than 35%
3. QRS exhibiting left bundle branch block configuration with a duration greater than 120 ms
Key exclusion criteriaDoes not comply with the above inclusion criteria
Date of first enrolment01/05/2003
Date of final enrolment01/05/2007

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Leiden University Medical Centre (LUMC)
Leiden
2300 RC
Netherlands

Sponsor information

Leiden University Medical Centre (LUMC) (The Netherlands)
Hospital/treatment centre

Department of Cardiology
P.O. Box 9600
Leiden
2300 RC
Netherlands

Website http://www.lumc.nl/english/start_english.html
ROR logo "ROR" https://ror.org/027bh9e22

Funders

Funder type

Charity

Netherlands Heart Foundation (Nederlandse Hartstichting) (NHS) (The Netherlands)

No information available

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