1.Patients who have undergone dual-chamber pacemaker implantation for second-degree type II or third-degree atrioventricular block (AVB) with an anticipated pacing percentage >40%. 2.Patients with a documented history of hypertension and office-measured systolic blood pressure =130 mmHg.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age Range (18–85 Years); 2. Second-Degree Type II or Third-Degree AVB with Expected Pacing Proportion >40%; 3. Conduction System Pacing (CSP) for Dual-Chamber Pacemaker Implantation; 4. Hypertension History with Office Systolic Blood Pressure (SBP) >=130 mmHg; 5. Able and willing to provide written informed consent, comply with all study procedures (including follow-up visits), and share relevant medical and device data for research purposes.
Exclusion criteria
Exclusion criteria: 1. Systolic blood pressure >180 mmHg; 2. Secondary hypertension with a confirmed etiology; 3. History of heart failure, including HFrEF and HFmrEF; 4. History of paroxysmal or persistent atrial fibrillation; 5. History of structural heart disease, including hypertrophic cardiomyopathy, restrictive cardiomyopathy, or other cardiomyopathies; 6. History of cardiac surgery within the past 6 months; 7. History of renal disease or renal artery disease; 8. Known carotid artery disease; 9. Contraindications to pacemaker implantation (e.g., active infections); 10. Pregnant women or those planning pregnancy during the study period; 11. Participation in other clinical trials that may interfere with the execution or outcome analysis of this study;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Systolic blood pressure control rate post-randomization; | — |
Secondary
| Measure | Time frame |
|---|---|
| Left ventricular ejection fraction;6-minute Walk Test; | — |
Countries
China
Contacts
Shanxi Cardiovascular Hospital