I42.9 I50.1
Conditions
Interventions
Group 1: Patients with suspicion of an arrhythmia-induced cardiomyopathy (AIC) undergo the following diagnostic tests within the initial hospital stay: ECG (for rhythm evaluation), blood sample (inter
Sponsors
Universitätsklinikum Regensburg
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Suptraventricular tachycardia (100/min), unexplained left ventricular systolic dysfunction (LVEF 18y, informed consent.
Exclusion criteria
Exclusion criteria: History of previous significant non AIC-LVSD (EF<50%), myocardial infarction within the last 3 months. Long persistent or permanent AF.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The dual primary end point ‘prevalence of arrhythmia-indced cardiomyopathy and time to recovery of systolic heart function” is determined after the outpatient visit at six months. The prevalence of AIC is calculated by the quotient from the number of patients in arm 1 and the total number of patients. For the classification in the specific study arm, LVEF is used, which is measured by echocardiography. | — |
Secondary
| Measure | Time frame |
|---|---|
| Parameters to differentiate between AIC and non-AIC: cMRI detected fibrosis (late gadolinium enhancement, LGE) including LGE positive vs. negative LGE, and inverse correlation % LGE, and change LVEF (echocardiography). LV end-diastolic and end-systolic diameter (echocardiography). Left atrial (LA) dimension (echocardiography). Serum concentrations of N-terminal pro-BNP (NT-proBNP) and Troponin. Symptoms of arrhythmia, NYHA Classification, type of arrhythmia, heart rate (ECG), and age. Prevalence of AIC: Mitral insufficiency, specific antiarrhythmic therapy applied, hospitalization for heart failure/arrhythmia/cardiovascular, quality of life, AIC recurrence, overall survival, cardiovascular (CV) mortality, sudden cardiac death (SCD), symptoms of arrhythmia, NYHA Classification, type of arrhythmia, and demographic and clinical variables. These parameters are collected at the initial hospital stay. In the outpatient visits two, four and six months after that, these parameters were measured again except for the cMRI-data. | — |
Countries
Germany
Contacts
Public ContactChristian Schach
Universitäres Herzzentrum Regensburg, Innere Medizin 2, Abteilung für Kardiologie
Outcome results
None listed