Left ventricular dysfunction Circulatory System Left ventricular dysfunction
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Cardiac Resynchronization Therapy (CRT) study: 1. Poor LV function with ejection fraction on echocardiogram (ECHO) 55 mm) 4. Any QRS duration (representing the duration of ventricular depolarisation) LV dysfunction can be of any aetiology. All patients must be able and willing to give writted informed consent. ECGI validation study: Patients must require EPS/ablation of tachyarrhythmias requiring LV access e.g. VT ablation/EPS, Brugada EPS, left sided pathways. All must be willing and able to give written informed consent. VT study: All patients must require EPS for induction of LV tachyarrhythmias or ablation of VT. Again all must give written informed consent.
Exclusion criteria
Exclusion criteria: CRT study: 1. Ejection fraction on ECHO >35% 2. Unable or unwilling to come back for 6 month follow-up 3. Unable or unwilling to give written informed consent ECGI validation and VT studies: 1. Procedures not requiring access to the LV 2. Bleeding conditions 3. Clotting disorders 4. Unwilling to give written informed consent 5. Age <18 years
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| CRT study: Response to CRT (assessed clinically using echo, 6 minute walk distance, cardiopulmonary stress testing, and functionally using quality of life questionnaire and NYHA symptom class). This can be assessed in conjunction with pacing site localisation using ECGI in relation to regions of slow conduction/scar tissue. ECGI validation and VT studies: These are qualitative studies whereby ECGI data and data acquired invasively are compared directly. Therefore there is no discrete end-point. | — |
Secondary
| Measure | Time frame |
|---|---|
| No secondary outcome measures | — |
Countries
United Kingdom