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Role of Left Ventricular Pacing Site
This study is currently recruiting participants.
Verified by University Hospital, Bordeaux, June 2007
First Received: September 13, 2005   Last Updated: June 28, 2007   History of Changes
Sponsors and Collaborators: University Hospital, Bordeaux
Ministry of Health, France
Information provided by: University Hospital, Bordeaux
ClinicalTrials.gov Identifier: NCT00221780
  Purpose

Cardiac resynchronization therapy has been shown to be effective in reducing symptoms and mortality in heart failure patients. However, very few is known about the importance of the left ventricular pacing site. We study in a random order 11 different left ventricular pacing sites and compare their hemodynamics using pressure-volume catheters. The consequences on the surface ECG are also assessed.


Condition Intervention
Heart Failure
Cardiomyopathy, Dilated
Coronary Disease
Device: left ventricular pacing

MedlinePlus related topics: Cardiomyopathy Coronary Artery Disease Heart Failure
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Single Blind, Active Control, Crossover Assignment, Safety/Efficacy Study
Official Title: Importance of Left Ventricular Pacing Site in Biventricular Resynchronization Therapy for Severe Heart Failure

Further study details as provided by University Hospital, Bordeaux:

Primary Outcome Measures:
  • Variation in left ventricular dp/dt max

Secondary Outcome Measures:
  • pressures and volumes of the left ventricle
  • stroke work
  • surface ECG repolarisation

Estimated Enrollment: 33
Study Start Date: November 2003
Estimated Study Completion Date: December 2007
Detailed Description:

Background. Cardiac resynchronization therapy has been shown to be effective in reducing symptoms and mortality in heart failure patients. However, very few is known about the importance of the left ventricular pacing site.

Design. Single-blind, monocentric, randomized cross-over study comparing 11 left ventricular pacing sites in a random order.

Intervention. Left ventricular DDD pacing on 11 ventricular sites, prior to the implantation. At each pacing site, a control hemodynamics will be obtained in AAI pacing at the same pacing rate. At each pacing site, 2 AV delays, a short and a long one, will be assessed.

Eligibility criteria. Patients referred for cardiac resynchronization therapy for heart failure

Outcomes. Hemodynamic measures using pressure-volume catheters.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Heart failure referred for cardiac resynchronization therapy
  • NYHA Class III or IV
  • Informed consent form signed

Exclusion Criteria:

  • Hypertension not controlled by treatment
  • Coronary ischemia not controlled by treatment
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00221780

Contacts
Contact: Pierre Jaïs, Dr 33 (0) 5 57 65 64 71 pierre.jais@chu-bordeaux.fr

Locations
France
Hôpital Cardiologique du Haut Lévêque, Rythmology department, Pr CLEMENTY, 3rd Floor Recruiting
Pessac, France, 33604
Contact: Pierre Jaïs, Dr     33 (0) 5 57 65 64 71     pierre.jais@chu-bordeaux.fr    
Principal Investigator: Pierre Jaïs, Dr            
Sponsors and Collaborators
University Hospital, Bordeaux
Ministry of Health, France
Investigators
Principal Investigator: Pierre Jaïs, Dr University Hospital, Bordeaux
Study Chair: Paul Perez, Dr University Hospital, Bordeaux
  More Information

No publications provided

Study ID Numbers: 9426-01, 2001-030
Study First Received: September 13, 2005
Last Updated: June 28, 2007
ClinicalTrials.gov Identifier: NCT00221780     History of Changes
Health Authority: France: Afssaps - French Health Products Safety Agency

Keywords provided by University Hospital, Bordeaux:
Heart failure
Cardiomyopathy, dilated
Coronary disease
Cardiac Pacing, Artificial
Hemodynamics
Randomized Controlled Trials
Single-Blind Study

Study placed in the following topic categories:
Arterial Occlusive Diseases
Coronary Disease
Heart Failure
Heart Diseases
Myocardial Ischemia
Cardiomyopathy, Dilated
Vascular Diseases
Arteriosclerosis
Ischemia
Cardiomegaly
Cardiomyopathies
Coronary Artery Disease

Additional relevant MeSH terms:
Arterial Occlusive Diseases
Coronary Disease
Heart Failure
Heart Diseases
Myocardial Ischemia
Cardiomyopathy, Dilated
Vascular Diseases
Cardiovascular Diseases
Arteriosclerosis
Cardiomegaly
Cardiomyopathies
Coronary Artery Disease

ClinicalTrials.gov processed this record on May 06, 2009