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Sleep-disordered breathing in patients with implanted cardiac devices: assessment of the change in sensitivity to carbon dioxide with cardiac resynchronisation therapy

Sleep-disordered breathing in patients with implanted cardiac devices: assessment of the change in sensitivity to carbon dioxide with cardiac resynchronisation therapy - an observational case-controlled study

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ISRCTN
Registry ID
ISRCTN99704819
Enrollment
40
Registered
2014-06-25
Start date
2014-04-09
Completion date
Unknown
Last updated
2020-11-16

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

Conditions

Topic: Cardiovascular disease

Interventions

This trial tests how the depth and frequency of breathing changes with rising inspired carbon dioxide levels. This relationship is tested before and after implantation of a biventricular pacemaker for

Sponsors

Royal Brompton & Harefield NHS Trust (UK)
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Heart failure (of any aetiology) and a reduced ejection fraction (<40%) due to undergo implantation of a Boston Scientific biventricular pacemaker or defibrillator with the ApneaScan function 2. They must meet UK guidelines for biventricular pacemaker implantation 3. They should be on optimal medical therapy for heart failure 4. They must be aged 18 or over and be able to give valid written consent for this study 5. They must be ambulatory Target Gender: Male & Female; Upper Age Limit 100 years ; Lower Age Limit 18 years

Exclusion criteria

Exclusion criteria: 1. Patients receiving pacemakers without the ApneaScan function 2. Patients unable or unwilling to attend follow-up testing 3. Patients receiving devices for indications other than heart failure with reduced ejection fraction 4. Patients with obstructive sleep apnea already on continuous positive airway pressure (CPAP) therapy 5. Patients unable to walk

Design outcomes

Primary

MeasureTime frame
Hypercapnic Ventilatory Response; Timepoint(s): Change in Minute Ventilation per unit rise in end tidal CO2

Secondary

MeasureTime frame
Apnoeic-Hypopnoeic Index; Timepoint(s): Measured at 6 weeks and 6 months post-implantation of pacemaker

Countries

United Kingdom

Outcome results

None listed

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