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Better mechanistic understanding and risk stratification of ventricular arrhythmias through ECGI

Better mechanistic understanding and risk stratification of ventricular arrhythmias through ECGI - BREACH-ECGI

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
NL-OMON
Registry ID
NL-OMON52499
Enrollment
135
Registered
2019-07-24
Start date
2020-06-10
Completion date
Unknown
Last updated
2026-01-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

sudden cardiac arrest

Interventions

None listed

Sponsors

Maastricht Universitair Medisch Centrum +
Lead Sponsor

Eligibility

Age
18 Years to 99 Years

Inclusion criteria

Inclusion criteria: In order to be eligible to participate in this study, a subject must be >= 18 years old, have a either a history or a risk of VTAs and have one of the following diagnoses: - Ischemic cardiomyopathy - Non-ischemic cardiomyopathy - Non-structural heart disease - Congenital heart disease (with a limitation to CCTGA and situs inversus) Or: a subject must be >= 18 years old and have a structurally normal heart.

Exclusion criteria

Exclusion criteria: A potential subject who meets any of the following criteria will be excluded  from participation in this study:,  • A known strong reaction against electrode attachment. • Any serious medical condition, which in the opinion of the investigator, may  adversely affect the safety and/or effectiveness of the participant or the  study. • Pregnancy, nursing or planning to be pregnant. • In case of a CT scan: the subject has an estimated glomerular filtration rate  (eGFR) of <30mL/min/1.73m2, using the MDRD calculation 14. • In case of a CT scan: A known strong reaction against contrast agent. • In case of an MRI scan: the subject is unsuitable to get an MRI scan (such as  described in ODIN protocols *Voorbereiding klinische patiënten voor MRI  onderzoek* and *Uitvoering van MRI onderzoek bij patiënten met een cardiaal  implanteerbare elektronisch device, waaronder een pacemaker en ICD*): o Non-MRI-compatible metallic implants (vascular clip, neuro-stimulator,  cochlear implant etc.).  o Non-MRI-compatible pacemaker or implantable cardiac defibrillator (ICD).  o Claustrophobia. • Being unable to give informed consent.

Design outcomes

Primary

MeasureTime frame
The study parameters are reconstructions of epicardial potentials, and electrocardiographic quantitative and qualitative measures based on body-surface potential maps. From these, relevant endpoints can be determined, i.e. *normal/abnormal activation or recovery patterns* and *increased dispersion of repolarization*.

Secondary

MeasureTime frame
As part of standard/routine care, if applicable: o Baseline parameters: year of birth, ethnicity, gender, date and circumstances index event o Patient history: symptoms or medication preceding the ventricular arrhythmias, family history o Physical examination (blood pressure, saturation, body temperature) o ECG parameters o Blood chemistry o Toxicological screening o Echocardiography o Exercise test/ Holter monitoring o CAG/ CTA o MRI o Provocation tests o Electrophysiological study o Genetics o Outcomes o ICD parameters o ICD and pacemaker therapy; appropriate, inappropriate and ICD complications o Specific diseases that emerged during follow-up o Extra diagnostic testing, if performed o Outcome: specific underlying diagnosis revealed during follow-up, death, cause of death

Countries

Belgium, Netherlands

Contacts

Public ContactP.G.A. Volders

Maastricht Universitair Medisch Centrum +

p.volders@maastrichtuniversity.nl043 387 27 27

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)