Myocardial Minimal Damage After Rapid Ventricular Pacing

NCT ID: NCT02362802

Last Updated: 2023-03-20

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

149 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-09-30

Study Completion Date

2018-01-31

Brief Summary

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This study aims to investigate the impact of antitachycardia pacing ( ATP) on the myocardial tissue with respect to its potential micro damage measured by several myocardial markers, especially by high-sensitive TroponinT.

Detailed Description

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Conditions

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Antitachycardia Pacing

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Antitachycardia Pacing

Implantable cardioverter defibrillator placement with Antitachycardia Pacing. Apart from that usual standard of care.

Group Type ACTIVE_COMPARATOR

Implantable Cardioverter Defibrillator

Intervention Type DEVICE

No Antitachycardia Pacing

Implantable cardioverter defibrillator placement without Antitachycardia Pacing.

Apart from that usual standard of care.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Implantable Cardioverter Defibrillator

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* All patients for de-novo implantation of a transvenous ICD (single chamber, dual chamber or cardiac resynchronization tehrapy) with left pectoral device position and planned apical location of the right ventricular defibrillation electrode.

Exclusion Criteria

* Resuscitation, cardiac surgical procedure, acute coronary syndrome, acute myocardial infarction, coronary revascularisation, cardioversion or ablation during the past 4 weeks, if baseline high-sensitive Troponin T is elevated
* Known stenosis of coronary vessels with indication for coronary intervention or operative revascularisation
* Intracardiac thrombus or general contraindication against ventricular burst stimulation or intraoperative ICD-testing
* Atypical lead implantation with indication for defibrillation threshold testing by induction of ventricular fibrillation
* Right sided implantation of ICD
* Planned electrical cardioversion
* Lead explantation or -extraction during procedure
* Redo procedure (except of additional implantation of a right ventricular ICD lead)
* Present temporary pacemaker electrode
* ASA \>= IV or NYHA IV
* Cardiogenic shock
* Pulmonary embolism, cerebrovascular insult or dialysis in the past 4 weeks
* Lack of consent of patient
* Minority of patient
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Deutsches Herzzentrum Muenchen

OTHER

Sponsor Role lead

Responsible Party

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Adnan Kastrati, MD

PD Dr. med. C. Kolb

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Christof Kolb, MD

Role: PRINCIPAL_INVESTIGATOR

Deutsches Herzzentrum München

Locations

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Deutsches Herzzentrum Muenchen

Munich, , Germany

Site Status

Countries

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Germany

References

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Semmler V, Deutschmann C, Haller B, Lennerz C, Brkic A, Grebmer C, Blazek P, Weigand S, Karch M, Busch S, Kolb C. Myocardial Minimal Damage After Rapid Ventricular Pacing - the prospective randomized multicentre MyDate-Trial. Sci Rep. 2020 Mar 16;10(1):4753. doi: 10.1038/s41598-020-61625-8.

Reference Type RESULT
PMID: 32179792 (View on PubMed)

Other Identifiers

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GER-EP-015

Identifier Type: -

Identifier Source: org_study_id

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