Cardiomyopathy, Ischemic Cardiomyopathy
Conditions
Keywords
ischemic cardiomyopathy, cardiomyopathy, left ventricular lead, cardiac electrophysiologic studies
Brief summary
Presently, the left ventricular lead is placed in a similar position for all patients. It is not known whether placing this lead in different positions in the heart will make the heart pump better. In this study, the investigator will collect measurements of the heart's electrical activity during an Electrophysiology Study (EP study or EPS). The hope is that these measurements will provide the know how to develop an individualized left ventricular lead placement prescription for patients referred for left ventricular lead pacing.
Interventions
During the electrophysiology study, measurements will be obtained while pacing from different left ventricular regions in context to scar as determined by SPECT-CT testing.
Sponsors
Study design
Eligibility
Inclusion criteria
* Ischemic cardiomyopathy * Intrinsic QRS duration \>120 milliseconds * LV ejection fraction \<40%
Exclusion criteria
* Persistent atrial tachyarrhythmia * Active cardiac ischemia * Cerebrovascular accident within 6 months * Surgical or percutaneous cardiac revascularization procedure within 3 months * Under 18 years of age * Pregnant * Participating in a clinical study that would preclude enrollment * Unable to provide informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| dP/dt measurements observed during pacing from different left ventricular regions | Measurements will be observed at the time of the electrophysiology study (EPS) at enrollment. | During the electrophysiology study, the dP/dt measurements will be observed during pacing from different left ventricular regions. |
Countries
United States