Defibrillators, Implantable
Conditions
Brief summary
The main objective of this study is to determine among the patients included a subpopulation that does not need a defibrillator. This will be done by comparing the number of discordant segments (mismatch) between patients who have a severe arrhythmia (ventricular tachycardia or ventricular fibrillation) with appropriate electrical therapy within 3 years of monitoring and others. Mismatch in the definition of this objective is the usual definition: score 3.4 in I123-MIBG (Iodine 123 metaiodobenzylguanidine) and PET at 0,1,2.
Interventions
All patients will systematically have an 18F-FDG PET-CT (18F-fluorodeoxyglucose positron emission tomography/computed tomography) and a 123MIBG (Iodine 123 metaiodobenzylguanidine) scintigraphy
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient with ischemic heart disease with heart failure * Patients who received myocardial perfusion scintigraphy * Indication for the implantation of an ICD installed according to current recommendations : LVEF \<30% and NYHA (New York Heart Association) stage II, III. * The subject must have given his informed consent and signed consent * The subject must be a member or beneficiary of a social security system
Exclusion criteria
* Pregnant or lactating women * History of open heart cardiovascular surgery * Inability to sign informed consent (patient under guardianship) * Patients with diabetes mellitus * Patient with proven dementia * Person refusing to sign the consent * Someone who already has an ICD at baseline * Life expectancy less than one year (NYHA IV, other diseases such as neoplastic disease in an advanced stage)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Presence/absence of a triggering of the defibrillator within 3 years of follow up | 3 years | The primary endpoint is the triggering of the defibrillator within 3 years of follow up. Mismatch segments will be studied as predictors of arrhythmia. |
Countries
France