Cardiomyopathy Heart Failure
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: CRT-D conventional indication QRS width > 120 ms Left Ventricular Ejection Fraction (LVEF)
Exclusion criteria
Exclusion criteria: History of chronic AF MI within the last 3 months previous pacemaker or ICD implanted Claudicatio intermittens or other significant arterial vein issues in the aortic-iliac route Moderate to severe aortic valve stenosis or indication for valve surgery or mechanical aortic valve replacement or thrombus in Left Ventricle Age 80 years Heart failure NYHA class IV
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| Assessment of correlation between dp/dt & volumes (PV loops recordings) and optimal position of pacing wire Assessment of electrical parameters: correlation between QRS width and electrical activation patterns | — |
Primary
| Measure | Time frame |
|---|---|
| Optimal position of the lead is defined as the one providing optimal acute hemodynamics (defined by the highest Stroke Volume as measured by Pressure-Volume recordings compared to Atrial paced-Ventricle sensed pacing configuration) | — |
Countries
Netherlands