The CRT-KIR Study (Cardiac Resynchronization Therapy [CRT] in the Early Phase After Heart Surgery)
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Purpose
In patients with broad QRS complexes on electrocardiogram (ECG), the delayed electrical activation of the left heart chamber will cause abnormal contraction.This has been shown to be possible to treat by a special pacemaker treatment which includes pacing of the left heart chamber (= CRT treatment).
In this study the researchers will investigate the effect of acute CRT treatment in the early phase after open heart surgery.
| Condition | Intervention |
|---|---|
|
Bundle-Branch Block |
Procedure: Temporary cardiac resynchronization therapy |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Cardiac Resynchronization Therapy (CRT) in the Early Phase After Heart Surgery |
- Non invasive cardiac output after 72 hours CRT (versus control) treatment
- Echocardiographic measures of left ventricular (LV) function
- Mixed venous oxygen saturation
- Invasively determined cardiac output
- Plasma brain natriuretic peptide (p-BNP)
- Number of hours with inotropic treatment
| Estimated Enrollment: | 60 |
| Estimated Study Completion Date: | September 2008 |
Patients with bundle branch block have a delayed electrical activation of the left ventricle causing abnormal contractility of the left ventricle.
We hypothesize that patients may benefit from short term (= 72 hours) CRT (Cardiac Resynchronization Therapy) in the early phase after open heart surgery.
Patients: reduced LV function and bundle branch block.
Study type: randomisation to CRT versus standard postoperative treatment
Study variables: cardiac output, echocardiographic measures, p-BNP and hours with inotropic therapy.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patient scheduled for open heart surgery (coronary artery bypass graft [CABG] or mitral valve surgery or aortic valve surgery or combinations of the above mentioned surgical procedures) and LV ejection fraction < 35% and bundle branch block (QRS > 9.12 s)
Exclusion Criteria:
- Severe right heart failure
- Permanent atrial fibrillation
- Congenital heart disease
- Serious non-cardiac disease
Contacts and Locations
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00192946 History of Changes |
| Other Study ID Numbers: | KF 01-230/04 |
| Study First Received: | September 11, 2005 |
| Last Updated: | July 9, 2007 |
| Health Authority: | Denmark: The Danish National Committee on Biomedical Research Ethics |
Keywords provided by Rigshospitalet, Denmark:
|
Cardiac resynchronization Heart failure open heart surgery surgery |
Additional relevant MeSH terms:
|
Bundle-Branch Block Heart Block Arrhythmias, Cardiac |
Heart Diseases Cardiovascular Diseases Pathologic Processes |
ClinicalTrials.gov processed this record on June 18, 2013