Heart Failure
Conditions
Keywords
Cardiac Resynchronization Therapy Defibrillator (CRT-D) Devices
Brief summary
The Cutaneous Heart Sounds Data Collection During CRT Optimization study is an acute, prospective, non-randomized multi-center feasibility clinical trial. The purpose of this clinical trial is to collect data to assist in the testing and finalization of a hemodynamic sensor-based cardiac resynchronization therapy (CRT) optimization scheme.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Subject must have been implanted with a Medtronic market approved CRT-D device (Concerto®, Concerto® II, Maximo® II, Consulta®, Protecta™, or Protecta™ XT) within two years * Subject must be 18 years of age or older * Subject or his/her legally authorized representative has signed and dated the study specific informed consent form (Consent Form) * Subject is willing and able to comply with protocol requirements
Exclusion criteria
* Subject with atrial tachyarrhythmia or frequent atrial or ventricular ectopy * Subject is post mitral or aortic valve repair or replacement * Subject is participating in other research studies that many confound the results of this study * Subject is pregnant or in fertile age without secure birth control * Subject has dementia * Subject is unwilling to comply with protocol requirements * Subject has a device and lead system with fractured leads * Subject cannot undergo an echocardiograph procedure, or is contraindicated to undergo such a procedure
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Collection of simultaneous cardiac signals representing heart sounds and CRT-D electrogram (EGM) vectors. | A two hour office visit within two years of CRT-Defibrillator (D) and lead system implant | The cardiac signals collected by the modified Virtuoso® ICD and implanted CRT-D EGM vectors will be used to determine how to improve and finalize a prototyped hemodynamic sensor-based CRT optimization scheme. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of modified Virtuoso® Implantable Cardiac Defibrillator (ICD) heart sounds and CRT-D electrogram (EGM) vectors | A two hour office visit within two years of CRT-D and lead system implant | The heart sounds vector data from the externally affixed modified Virtuoso® ICD will be compared to the EGM vectors from the implanted CRT-D device after CRT optimization. |
| Determine if modified Virtuoso® ICD recorded heart sounds and CRT-D recorded EGM are able to detect phrenic nerve stimulation (PNS) | A two hour office visit within two years of CRT-D and lead system implant | — |
Countries
United States