Heart Failure
Conditions
Brief summary
The purpose of this study is to evaluate the application of Negative Atrioventricular Hysteresis (NAVH) to improve electrical synchrony in Cardiac Resynchronization Therapy (CRT) patients.
Interventions
Cardiac Resynchronization Therapy with Negative Atrioventricular Hysteresis
Sponsors
Study design
Eligibility
Inclusion criteria
* Implanted with a functioning SJM Quadripolar CRT Pacing System * QRS duration \> 140 ms * Left bundle branch block documented * Ability to provide informed consent for study participation * Willing to comply with the study evaluation requirements * At least 18 years of age
Exclusion criteria
* CRT Pacing System implanted less than 1 week at time of enrollment * CRT Pacing System implanted more than 24 months at time of enrollment * CRT Pacing System implanted more than 90 days at time of enrollment AND intrinsic QRS duration is shorter than pre-implant intrinsic QRS duration by more than 10 ms * Resting ventricular rate \>100 bpm * Intrinsic PR interval \> 300 ms * Paroxysmal or persistent atrial tachycardia or atrial fibrillation documented * A recent myocardial infarction, ablation, drug intoxication, electrolyte imbalance, or any condition within the last 90 days that would be contraindicated for CRT programming changes in the opinion of the investigator * Women who are pregnant or who plan to become pregnant during the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Acute changes in surface ECG QRS duration resulting from Cardiac Resynchronization Therapy with Negative Atrioventricular Hysteresis over a range of programmable values | 1 day |
Secondary
| Measure | Time frame |
|---|---|
| Ambulatory changes in surface ECG QRS duration resulting from Cardiac Resynchronization Therapy with Negative Atrioventricular Hysteresis | 1 day |
Countries
United States