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The effects of coronary sinus based left atrial pacing on systemic hemodynamics in cardiac resynchronization therapy patients

Acute evaluation of effects of coronary sinus based left atrial pacing on systemic hemodynamics in cardiac resynchronization therapy patients

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12609000340235
Acronym
CSLA
Enrollment
15
Registered
2009-05-25
Start date
2009-03-01
Completion date
Unknown
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The purpose of this study is to evaluate the effects of left atrial pacing on the overall hemodynamic response in patients receive cardiac resynchronization therapy. It is believed that left atrial pacing may improve hemodynamics.

Interventions

Left atrial pacing using a left atrial lead and electrophyisiology heart catheter stimulation for 30 seconds. This will be compared to the hemodynamic effects of traditional right atrial (RA)pacing using the implanted RA lead. Several pacing interventions (using a combination of right atrial and left atrial pacing combinations) and will be performed using a dedicated 4-channel pacing system. For each pacing intervention, the optimal timing setting will be determined as calculated by a real-time

Left atrial pacing using a left atrial lead and electrophyisiology heart catheter stimulation for 30 seconds. This will be compared to the hemodynamic effects of traditional right atrial (RA)pacing using the implanted RA lead. Several pacing interventions (using a combination of right atrial and left atrial pacing combinations) and will be performed using a dedicated 4-channel pacing system. For each pacing intervention, the optimal timing setting will be determined as calculated by a real-time cardiac hemodynamic monitoring system. Each pacing intervention will be evaluated based on the resulting hemodynamic response. The entire pacing intervention will take 30 minutes and is administered only once in an acute setting.

Sponsors

St Jude Medical
Lead SponsorCommercial sector/Industry

Study design

Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Treatment
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

undergoing cardiac resynchronization therapy (CRT) implantation able to consent

Exclusion criteria

no persistant or permanent atrial fibrillation (AF) no recent myocardial infarction (MI) or Cardiac surgery

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026