Pacing in First-degree AV-block

NCT ID: NCT01985802

Last Updated: 2017-11-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-12-31

Study Completion Date

2017-10-26

Brief Summary

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The purpose of this study is to explore if there is a less harmful way to pace patients with first-degree AV-block to ensure that the negative effects inferred by the pacing do not outweigh the positive effects of AV-synchrony. The main hypothesis of the study is that His-bundle pacing will offer a more physiological mode of pacing in patients with first-degree AV-block than conventional pacing.

Patients scheduled for catheter ablation of atrial fibrillation (AF) in sinus rhythm, with first degree AV-block, normal QRS duration less than 120 ms and normal left ventricular ejection fraction will be included. During the AF ablation three different pacing modes (atrial, AV-synchronous and His-bundle pacing) at two different rates (5 to10 bpm above the basal rate and at 100 bpm) will be performed and evaluated using echocardiography. After the completion of all six pacing protocols (i.e., three modes at two different rates) the experimental part of the procedure ends.

The primary end-point will be echocardiographic evidence of dyssynchrony. Secondary end-points will include left ventricular ejection fraction, left ventricular volume, mitral regurgitation, septal to posterior wall motion delay and inter-ventricular wall motion delay. Since the research study is conducted in parallel with the standard catheter ablation, we do not anticipate any additional side effects as a result of the study.

Detailed Description

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Conditions

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First-degree AV-block Pacing

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Pacing - Cross-over

Pacing will be conducted in 3 different ways (atrial, dual chamber and His-bundle pacing) at 2 different rates (basal and 100 bpm).

Group Type OTHER

Pacing

Intervention Type OTHER

Interventions

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Pacing

Intervention Type OTHER

Other Intervention Names

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Additional catheter may be used to evaluate heart performance during pacing. Does not require additional IV access

Eligibility Criteria

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Inclusion Criteria

* Patients scheduled for catheter ablation of atrial fibrillation in sinus rhythm and PR prolongation exceeding or equal to 200 ms
* QRS duration less than 120 ms
* Normal left ventricular ejection fraction on echocardiography.

Exclusion Criteria

* Any bundle branch block
* Second- or third-degree AV-block
* Congestive heart failure, cardiomyopathy, myocardial infarction or major surgical procedure.
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medtronic

INDUSTRY

Sponsor Role collaborator

Duke University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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James P Daubert, MD

Role: PRINCIPAL_INVESTIGATOR

Duke University

Locations

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Duke University Hospital

Durham, North Carolina, United States

Site Status

Countries

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United States

Other Identifiers

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Pro00048871

Identifier Type: -

Identifier Source: org_study_id