Patients with dual chamber (atrium and ventricle) cardiac pacemaker placed due to sick sinus syndrome (at least 1 month after implantation) MedDRA version: 17.1 Level: HLT Classification code 10053103 Term: Heart rate and pulse investigations System Organ Class: 100000004848
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age 18-75 years Dual chamber (atrium and ventricle) cardiac pacemaker placed due to sick sinus syndrome (at least 1 month after implantation) Good atrioventricular conductance (PQ interval =65 years) yes F.1.3.1 Number of subjects for this age range 70
Exclusion criteria
Exclusion criteria: Patients with contraindication or intolerance to beta-blockers, ivabradine, or their adjuvants Use of antiarrythmic drugs (sotalol, amiodarone, propafenone) History of several episodes of atrial fibrillation Use of antibiotics Acute or chronic inflammatory diseases Resting blood pressure < 110/70 mmHg Atrioventricular conductance disorders (patient needs permanent pacing) Long QT interval on resting ECG Severe liver or kidney disorder Pregnant or breast-feeding women Women of child-bearing potential not using contraception Previous myocardial infarction or stroke Current stable angina pectoris Total cardiovascular risk higher than moderate-high (in first phase) No insurance provided by Estonian Health Insurance Fund
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate the impact of heart rate on the effects of antihypertensive therapy on central aortic blood pressure;Secondary Objective: To evaluate the impact of heart rate on the effects of antihypertensive therapy on pulse wave velocity, cardiac output, and peripheral vascular resistance;Primary end point(s): Change in central aortic blood pressure;Timepoint(s) of evaluation of this end point: First phase: at the day of first administration of the IMP and after 2 weeks of IMP therapy Second phase: after 24h of changing the pacemaker`s base rate | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Change in pulse wave velocity, cardiac output, and peripheral vascular resistance ;Timepoint(s) of evaluation of this end point: First phase: at the day of first administration of the IMP and after 2 weeks of IMP therapy Second phase: after 24h of changing the pacemaker`s base rate | — |
Countries
Estonia
Contacts
University of Tartu, Clinic of Cardiology