Heart Failure
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: The study population consists of patients who have an indication for CRT according to current international guidelines. The patients will be recruited from the out-patient pacemaker/ICD clinic and from the cardiology ward.;Inclusion criteria: * Chronic heart failure with NYHA functional class II-IV * Left ventricular ejection fraction (LVEF)
Exclusion criteria
Exclusion criteria: * Persistent atrial fibrillation * * 2 premature ventricular complexes on standard 12-lead ECG * Age
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| * To show non-inferiority in acute hemodynamic effect (LVdP/dtmax) between the best LV septal pacing side and conventional BiV pacing in heart failure patients who are candidates for CRT. | — |
Secondary
| Measure | Time frame |
|---|---|
| * Comparing the acute hemodynamic effects of the different LV septal pacing sides with RV apical septum pacing, His pacing, RV septum pacing, LV epicardial postero-lateral wall pacing and intrinsic ventricular activation. * Change in sequence of LV electrical activation during LV septum pacing compared to the above mentioned pacing configurations using electrocardiographic parameters extracted from the VCG or Verathon Heartscape system. | — |
Countries
The Netherlands