Heart failure
Conditions
Interventions
Extra hemodynamic measurements will be performed during CRT implantation
(invasive) and after approximately one to two weeks (echocardiographic
protocol).
Atrioventricular dyssynchrony
Cardiac resynchronization therapy
Heart failure
Prolonged PR interval
Sponsors
Medisch Universitair Ziekenhuis Maastricht
Eligibility
Age
18 Years to 64 Years
Inclusion criteria
Inclusion criteria: - Indication for an ICD device according to current guidelines; - Stable prolonged PR interval >230ms; - Reduced LVEF (
Exclusion criteria
Exclusion criteria: - Already implanted with an CRT device; - Resting Heart rate >90 bpm; - LBBB QRS morphology; - QRS duration >150ms - Recent myocardial infarction (within 40 days prior to enrolment); - Second or third degree AV block; - Life expectancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The acute hemodynamic changes in LV stroke work (SW) during AV optimization by atrio-biventricular pacing. | — |
Secondary
| Measure | Time frame |
|---|---|
| - The acute hemodynamic changes in LV dP/dt|max and LV stroke volume (SV) by invasive measurements during AV optimization by atrio-biventricular pacing. - The acute hemodynamic changes in LV stroke volume (SV), diastolic mitral regurgitation and LV diastolic filling time by echocardiography during AV optimization by atrio-biventricular pacing. | — |
Countries
The Netherlands
Outcome results
None listed