无导线起搏器注册研究:圣珀尔滕大学医院的结局与随访 (LPR)
无导线起搏器注册表
The registry for leadless pacemakers will collect and annually analyze the data of all leadless pacemaker implantations at the University Hospital St. Pölten, including demographic information, indications, procedural details, acute, medium- and long-term complications during follow-up. Due to the partially novel nature of the signals (atrial mechanical sensing markers) and the lack of long-term experience to date, data on these aspects will also be collected and analyzed.
This is a single-center, prospective and retrospective registry that includes all patients receiving a leadless pacing device, as well as all patients who received a leadless pacing device between January 2021 and the start of the registry. All patients undergoing implantation of a leadless pacemaker will be invited to participate in the registry. For patients to be included retrospectively, participation in the registry will be offered at the time of their next routine follow-up visit.
The indication for leadless pacing will be determined by the physician responsible for the patient. Enrollment in the registry will in no case alter or influence the treatment the patient receives. Data collection will take place at the time of implantation and continuously during follow-up over the entire study period. Pacemaker-related data may be obtained either in person or via remote monitoring.
研究概览
研究类型
注册 (估计的)
联系人和位置
学习联系方式
- 姓名:Matthias Granner, MD
- 电话号码:+432742900422632
- 邮箱:matthias.granner@stpoelten.lknoe.at
研究联系人备份
- 姓名:Department of Internal Medicine III
- 电话号码:+432742900412541
- 邮箱:interne3@stpolten.lknoe.at
学习地点
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Lower Austria
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Sankt Pölten、Lower Austria、奥地利、3100
- 招聘中
- University Hospital of St. Pölten
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接触:
- Department of Internal Medicine III
- 电话号码:+432742900412541
- 邮箱:interne3@stpoelten.lknoe.at
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
取样方法
研究人群
The study population consists of adult patients undergoing implantation of a leadless pacemaker at University Hospital St. Pölten, as well as patients who previously received a leadless pacemaker at the same institution since June 2015. Both prospective and retrospective patients are included.
描述
Inclusion Criteria:
- Patients undergoing implantation of a leadless pacemaker at the University Hospital of St. Pölten
- Patients who previously received a leadless pacemaker between June 2015 and the start of the registry (retrospective inclusion).
- Age ≥ 18 years.
- Written informed consent provided by the patient.
Exclusion Criteria:
- Patients who decline or are unable to provide informed consent.
- Patients in whom a conventional transvenous pacemaker is implanted (i.e., not leadless).
- Any condition that, in the opinion of the treating physician, precludes participation in the registry.
学习计划
研究是如何设计的?
设计细节
- 观测模型:COHORT
- 时间观点:OTHER
研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Procedural success rate
大体时间:Periprocedural / at Day 1
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Successful implantation of a leadless pacemaker with acceptable electrical parameters and no need for conversion to a transvenous system |
Periprocedural / at Day 1
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Incidence of acute complications
大体时间:Within 30 days after implantation
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Rate of periprocedural complications (e.g., vascular complications, arrhythmias, pericardial effusion, device dislodgement) |
Within 30 days after implantation
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
全因死亡率
大体时间:在整个随访期间(最长10年)
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在整个随访期间(最长10年)
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|
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与心律失常或心力衰竭相关的住院治疗
大体时间:在整个随访期间(最长10年)
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在整个随访期间(最长10年)
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Device-related complication rate (medium- and long-term)
大体时间:Up to 10 years after implantation
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Cumulative incidence of complications requiring medical or surgical intervention (e.g., device malfunction, infection, need for extraction, upgrade) |
Up to 10 years after implantation
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Ventricular pacing burden
大体时间:Day 1, 3 months post-implant (±2 weeks), 1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter
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Percentage of ventricular pacing and triggered pacing as recorded by device interrogation |
Day 1, 3 months post-implant (±2 weeks), 1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter
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Quality of Life after Implantation
大体时间:1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter
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Change in 12-Item Short Form Health Survey (SF-12) questionnaire score / The SF-12 questionnaire is a validated health-related quality of life instrument with two subscales: Physical Component Summary (PCS) and Mental Component Summary (MCS). Each subscale ranges from 0 to 100 points, where higher scores indicate better health-related quality of life. |
1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter
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Electrical performance of the device
大体时间:Day 1, 3 months post-implant (±2 weeks), 1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter
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Pacing thresholds (in Volts at 0.24 ms pulse width) |
Day 1, 3 months post-implant (±2 weeks), 1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter
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Electrical performance of the device
大体时间:Day 1, 3 months post-implant (±2 weeks), 1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter
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Sensing Amplitude (R-wave, in millivolts [mV]) |
Day 1, 3 months post-implant (±2 weeks), 1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter
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Electrical performance of the device
大体时间:Day 1, 3 months post-implant (±2 weeks), 1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter
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Lead impedance (in Ohms [Ω]) |
Day 1, 3 months post-implant (±2 weeks), 1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter
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Electrical performance of the device
大体时间:Day 1, 3 months post-implant (±2 weeks), 1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter
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Estimated battery longevity (in years) |
Day 1, 3 months post-implant (±2 weeks), 1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter
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Left ventricular ejection fraction on Echocardiography
大体时间:1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter
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in % |
1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter
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Left ventricular dimensions on Echocardiography
大体时间:1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter
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end-diastolic and end-systolic diameters, in mm |
1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter
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Right ventricular function on Echocardiography
大体时间:1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter
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Tricuspid Annular Plane Systolic Excursion (TAPSE) in mm |
1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter
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合作者和调查者
调查人员
- 首席研究员:Julia Mascherbauer, MD, Professor、Department of Internal Medicine III, University Hospital of St. Pölten
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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