Bradycardia
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Among patients referred to Sapporo City General Hospital for permanent pacemaker implantation due to bradycardia, (1) those with a LVEF greater than 35% and left bundle branch block, (2) those with failure of His bundle pacing, are eligible. (3) Patients undergoing implantation of a cardiac resynchronization therapy (CRT) device, with lack of appropriate coronary sinus vein for a LV lead placement, are also eligible.
Exclusion criteria
Exclusion criteria: Patients who are judged as inappropriate for the study by investigators are excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes in maximum rate of left ventricular pressure (LV-dP/dtmax) and 2D-speckle tracking strain of left ventricle by left bundle branch pacing | — |
Secondary
| Measure | Time frame |
|---|---|
| 1 All-cause death, heart failure hospitalization, upgrade to biventricular pacing 2 Reoperation, lead dislodgement, device infection 3 Relationship between LV-dp/dtmax and optimal AV delay 4 Echographic changes of LV strain, LVEF, and LVDd 5 Change in NT-proBNP | — |
Countries
Japan
Contacts
Sapporo City General Hospital Cardiovascular Medicine