Heart Failure
Conditions
Keywords
ICD, CRTD, Remote care, Remote monitoring, Heart failure
Brief summary
It's the aim of this study to analyze the benefit of personal patient / physician contacts in heart failure patients with remotely monitored implanted cardioverter defibrillators (ICD) or ICD with cardiac resynchronization therapy (CRT-D). The personal follow up (in clinic or phone calls) will be compared to completely automatic remote follow ups. All patients will receive remote monitoring for automatic daily alarm checks and will undergo in clinic follow ups in 12 months intervals
Interventions
Quarterly remote follow ups and remote monitoring
Quarterly remote follow ups + additional phone calls and remote monitoring
Quarterly in clinic follow ups and remote monitoring
Sponsors
Study design
Eligibility
Inclusion criteria
* Indication for implantation (new, boxchange, upgrade) of ICD/ CRT-D * Written informed consent * Ejection Fraction \<= 35% * New York Heart Association (NYHA) Class I-III * Age \>=18 and \<=80 years * In patient's home environment sufficient infrastructure (analog phone line or sufficient strength of GSM (Global System for Mobile communication) mobile phone network) for running a Merlin@home transmitter is available
Exclusion criteria
* Arterio ventricular (AV) Block III / AV Block II Type Mobitz * Severe renal insufficiency * Coronary angiology intervention within previous 3 months * Myocardial infarction within previous month * Life expectancy \< 1 year * Expected poor data quality / compliance * Pregnancy * Patient is already participating to another study with active therapy arm
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Amount of patients with worsened outcome in reference to Packer's Heart Failure Clinical Composite Response | 12 months (between 1 and 13 months post implant) |
Secondary
| Measure | Time frame |
|---|---|
| Number of delivered / appropriate ICD therapies | 12 months (between 1 and 13 months post implant) |
| Mortality | 12 months (between 1 and 13 months post implant) |
| Heart failure hospitalizations | 12 months (between 1 and 13 months post implant) |
| Quality of life (MLHFQ) | 12 months (between 1 and 13 months post implant) |
| Number of additional, unscheduled follow ups | 12 months (between 1 and 13 months post implant) |
| Number of follow ups with relevant findings | 12 months (between 1 and 13 months post implant) |
| Cardiovascular events | 12 months (between 1 and 13 months post implant) |
Countries
Germany