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Investigating whether ultrasound stimulation can be used to reset or regulate the heart’s rhythm in patients with heart failure

Feasibility of ultrasound as a temporary pacing or resynchronization technique, an acute clinical evaluation

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN11165621
Enrollment
30
Registered
2019-03-08
Start date
2018-09-25
Completion date
Unknown
Last updated
2021-08-24

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

Conditions

Cardiac Resynchronization Therapy (CRT) in patients with heart failure Circulatory System

Interventions

Standard demographic and medical history will be colected at a baseline visit. The subjects will be assigned to either a Procedure cohort or Control cohort at the baseline visit, based on several crit

Sponsors

Medtronic, Inc.
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Meets standard criteria for implantation of a CRT-P or CRT-D device according to local guidelines 2. Subject (or legally authorized representative) has signed and dated the Informed Consent Form 3. Aged 18 years or older

Exclusion criteria

Exclusion criteria: 1. Confirmed myocardial damage, cardiac or chest surgery, or coronary procedure within the previous 30 days 2. Enrolled in a concurrent study that may confound the results of this study, without documented pre-approval from a Medtronic study manager 3. Pregnant, or of childbearing potential and not on a reliable form of birth control. Women of childbearing potential are required to have a negative pregnancy test within 7 days prior to the PACE-US Procedure visit. 4. Meets exclusion criteria required by local law (e.g. age, etc.) 5. Has any medical condition that would limit study participation per physician discretion

Design outcomes

Primary

MeasureTime frame
Proportion of subjects who achieve successful pacing, defined as heart capture observed on the ECG for at least three consecutive beats after ultrasonic pacing stimuli are delivered to at least one pacing location. Descriptive statistics will be used to summarize the number of captured beats. The number and percent of subjects with a successful pacing outcome will be reported. All Procedure cohort subjects who complete enrollment and for whom at least one acoustic window is found will be included in the analysis.

Secondary

MeasureTime frame
1. Successful resynchronization event, defined as normalization of the QRS duration and electrical dyssynchrony index assessed using CardioInsight electrical activation maps at any time point during Ultrasound Stimulation testing 2. Cardiac Troponin I level in blood at baseline and at 4-8hrs or 24-48hrs after Ultrasound Stimulation testing for the subjects assigned to the Procedure cohort or at baseline and at 4-8hrs or 24-48hrs after baseline for the subjects assigned to the Control cohort

Countries

United States of America

Contacts

Public ContactJessica Lukken

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026