Left Atrial Volume as Predictor for Arrhythmic Events and CRT Response (iLAV)

July 31, 2019 updated by: Dr. Giovanni Morani, Ospedale Borgo Trento - Verona
Left atrial volume role for CRT response and for arrhythmic events (VT/VF/AT/AF) onset

Study Overview

Status

Unknown

Conditions

Study Type

Observational

Enrollment (Anticipated)

230

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

Patients implanted with cardiac resynchronization therapy defirbillator devices and who meet the inclusion and exclusion criteria

Description

Inclusion Criteria:

  • Patient with left ventricular ejection fraction ≤ 35%, II, III or IV NYHA Class, even if optimal medical therapy.
  • Patients with standard indication to CRT according current guideline, sinus rhythm at implantation, LBBB and QRS duration >= 120 ms
  • Patients who will undergo to a new CRT-defibrillator system implantation
  • Patients who are able to understand and sign the informed consent
  • Patients who are able to attend all required follow-up visits at the study centerfor 24 months

Exclusion Criteria:

  • Age < 18 years
  • Women who are pregnant or who are planning to become pregnant
  • Patients with permanent Atrial Fibrillation or persistent Atrial Fibrillation in the 90 days preceding the implantation
  • Patients with organic mitral valve disease
  • Patients with prosthetic heart valves
  • Patients who will undergo to upgrading from other devices (PM or ICD) to CRT, heart transplantation, patients with CRT devices

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Observational Models: Cohort
  • Time Perspectives: Prospective

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Cardiac remodelling
Time Frame: 6 months
Evaluation of function and volume of left atrium (by means of echocardiographic measures) in terms of cardiac remodelling (at least 15% reduction in LVESV).
6 months
CRT Predictor Index
Time Frame: 6 months
Identification of left atrial index predicting CRT response
6 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Clinical benefit
Time Frame: 12 months

Left atrial volume/function in terms of clinical benefit

  • Clinical Composite Score evaluation
  • QoL evaluation
12 months
Cardiac remodelling
Time Frame: 6 months

Left atrial volume/function in terms of cardiac remodelling

  • LVEF
  • LVESV/LVEF
6 months
Atrial arrhythmias
Time Frame: 24 months

Left atrial volume/function role in terms of:

  • atrial arrhythmias onset
  • Atrial arrhythmias burden
24 months
Ventricular arrhythmias
Time Frame: 24 months

Left atrial volume/function in terms of:

  • ventricular arrhythmias onset
  • ventricular arrhythmias burden
24 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

April 1, 2016

Primary Completion (Anticipated)

November 1, 2019

Study Completion (Anticipated)

February 1, 2020

Study Registration Dates

First Submitted

April 26, 2017

First Submitted That Met QC Criteria

May 2, 2017

First Posted (Actual)

May 5, 2017

Study Record Updates

Last Update Posted (Actual)

August 1, 2019

Last Update Submitted That Met QC Criteria

July 31, 2019

Last Verified

July 1, 2019

More Information

Terms related to this study

Other Study ID Numbers

  • 20140002277

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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