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Imaging Cardiac Electrical Remodeling With Electrocardiogram Imaging (ECGI)

Imaging Cardiac Electrical Remodeling With ECGI

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT00785564
Enrollment
13
Registered
2008-11-05
Start date
2007-11-30
Completion date
2011-09-30
Last updated
2019-01-08

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

Conditions

Sick Sinus Syndrome

Keywords

T-wave memory, Sick Sinus Syndrome

Brief summary

A consequence of chronic RV pacing is a process of electrical remodeling that alters myocardial repolarization to reflect the altered depolarization induced by the RV lead. When RV pacing is discontinued, the altered repolarization persists for several weeks. This phenomena is traditionally described as T-wave memory based upon the 12-lead ECG appearance of inverted T-Waves. The investigators are using the ECGI technique to produce three dimensional electroanatomical images of this phenomena in patients with dual chamber pacemakers. Echocardiography will also be used to image the mechanical effects of RV pacing and T-wave memory. The images will show the spatial distribution of altered repolarization and allow us to correlate any mechanical consequences of this phenomena that may exist.

Interventions

None listed

Sponsors

Washington University School of Medicine
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Implanted dual chamber pacemaker for sick sinus syndrome with no history of complete heart block.

Exclusion criteria

* Persistent atrial fibrillation that is not suppressed by medications.

Design outcomes

Primary

MeasureTime frame
ECGI Image1 month after RV pacing

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026