Effect of Heart Rate on Left Ventricular Performance
Recruitment status was Recruiting
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Purpose
The current study is aimed at determining the normal response to increasing heart rates. For this purpose, atrial pacing will be used to increase heart rate.
| Condition | Intervention |
|---|---|
|
Myocardial Function Myocardial Strain |
Procedure: Increase in paced heart rate |
| Study Type: | Interventional |
| Study Design: | Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Basic Science |
| Official Title: | Effect of Heart Rate on Left Ventricular Performance |
- Segmental Strain [ Time Frame: approx. 20 minutes ] [ Designated as safety issue: No ]Segmental Strain by speckle tracking method will be calculated for every stage of each study.
- LV function [ Time Frame: Approx. 20 minutes ] [ Designated as safety issue: No ]Parameters of systolic and diastolic function will be calculated at each stage.
| Estimated Enrollment: | 100 |
| Study Start Date: | April 2010 |
| Estimated Study Completion Date: | April 2012 |
| Estimated Primary Completion Date: | April 2012 (Final data collection date for primary outcome measure) |
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Procedure: Increase in paced heart rate
Participants will be patients with pacemakers and normal A-V node conduction with a possibility for right atrial pacing mode.
Detailed Echo studies will be performed at baseline. Echo studies will be repeated at each pacing stage, stages defined as 10 bpm increments in paced heart rate. Each stage will last 2-3 min or as long as it takes to record the echo study. Heart rate will be increased to 85% of predicted heart rate for age or at to appearance of signs of ischemia.
Hemodynamic parameters will be recorded and segmental longitudinal strain will be calculated (as well as other Echo data), for each stage.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients with AAI or DDD pacemaker with intact AV nodal conduction that can be set to work in AAI mode.
- Stable rhythm (either sinus or paced).
- Good quality baseline echo.
- Able and willing to sign Informed Consent Form.
Exclusion Criteria:
- Prior heart failure or ischemic heart disease.
- Severe valvular lesions.
- Severe pulmonary hypertension.
- Known intolerance to rapid pacing.
- Multiple extrasystoles (more than 1 per echo or monitor screen).
- Age over 70.
Contacts and Locations| Contact: David S. Blondheim, MD | 97246304488 | davidb@hy.health.gov.il |
| Contact: David S. Blondheim, MD |
| Israel | |
| Hille Yaffe Medical Ceter | Recruiting |
| Hadera, Israel, 38100 | |
| Contact: David Blondheim, MD 97246304488 davidb@hy.health.gov.il | |
| Principal Investigator: David S. Blondheim, MD | |
| Principal Investigator: | David S. Blondheim, MD | Hillel Yaffe Medical Center |
More Information
No publications provided
| Responsible Party: | David S. Blondheim, MD, Hillel Yaffe Medical Center |
| ClinicalTrials.gov Identifier: | NCT01112176 History of Changes |
| Other Study ID Numbers: | 013-10-HYMC-CTIL |
| Study First Received: | April 13, 2010 |
| Last Updated: | April 27, 2010 |
| Health Authority: | Israel: Ministry of Health |
Keywords provided by Hillel Yaffe Medical Center:
|
Strain Ejection fraction Diastolic function |
ClinicalTrials.gov processed this record on May 16, 2013