Congestive Heart Failure, Ventricular Tachyarrhythmia.
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age >= 20 years. 2. Heart failure patients whose symptoms have not improved despite optimal pharmacological therapy who meet all the criteria listed in A) below as well as the criteria in either B) or C). (with the exception of patients with disease of transient or reversible cause) A) Indicated heart failure patients. a. NYHA class III or IV b. LVEF <= 35% c. QRS duration >= 130 ms B) Patient with one of the following risks for sudden cardiac death. a. History of resuscitation from cardiac arrest following fatal arrhythmia (clear loss of consciousness). b. VT or VF that disrupts hemodynamics c. Confirmed NSVT and VT or VF induced by electrophysiological testing. C) Patients who meet the Japanese criteria for implantation of an ICD. 3. Patients who signed the informed consent and Permission for Access to and Use of Health Information. 4. Patients who are willing to visit the hospital accordance with follow up schedule.
Exclusion criteria
Exclusion criteria: 1. Estimated survival < 6 months. 2. Bradycardia requiring pacemaker. 3. Unstable angina, myocardial infarction, coronary angioplasty, cerebral vascular accident, or transient ischemic attack within previous 3 months. 4. > 2 infusion of inotropic drug per week. 5. Systolic blood pressure < 80 mmHg or >170 mmHg. 6. Resting heart rate > 140/min. 7. Serum creatinine > 3 mg/dL (> 265 umol/L). 8. Hepatic enzymes >3-fold upper normal values. 9. Severe lung disease. 10. Chronic AF. 11. Heart transplant recipient. 12. Severe valvular heart disease (the decision on severity is made by a medical doctor). 13. Existing CRT or CRT-D device.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate the clinical effectiveness of CRT-D device therapy in Japanese patients with Japanese criteria by comparing with pre-specified MIRACLE-ICD results | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Characterize the clinical utility of CRT-D therapy in Japanese Patients. 2. Describe the effectiveness of Anti-Tachycardia Pacing (ATP) for terminating Ventricular Tachycardias (VT). 3. Describe the medico-economic characteristics of CRT-D device therapy. | — |
Countries
Japan
Contacts
Medtronic Japan, Co., Ltd. CRDM Clinical Research