Heart Failure
Conditions
Keywords
Pacemaker treatment in heart failure, Cardiac resynchronization therapy, DDD pacemakers
Brief summary
In heart failure patients we hypothesised that right ventricular high posterior septum is superior to right ventricular apex in CRT and DDD pacemaker. In two separate trials we prospectively randomized the right ventricular lead placement to find evidence of differences in heart failure symptoms (NYHA-class), 6 minute hall walk and echocardiographic measurements of reverse remodelling and dyssynchrony.
Interventions
RV lead is randomized to either apex or high posterior septum
Sponsors
Study design
Eligibility
Inclusion criteria
* CRT: * LVEF \< 35% * LVEDD \> 5.5 cm * NYHA 3-4 * QRS \> 120 ms * Optimal medical treatment * Both CRT-pacemakers (CRT-P) and CRT combined with ICD (CRT-D)
Exclusion criteria
* Not fulfilling inclusion criteria or not written consensus
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Echocardiographic reverse remodelling and dyssynchrony | 3, 6, 12, 18 and 24 months |
Countries
Norway