Heart failure & cardiomyopathies

Does targeted positioning of the left ventricular pacing lead towards the latest local electrical activation in cardiac resynchronization therapy reduce the incidence of death or hospitalization for heart failure?

Am Heart JPublished Randomised controlled trial

Study context

Population
Patients referred for de novo cardiac resynchronization therapy (CRT) implantation or upgrade to CRT from right ventricular pacingplanned
Participants
1,000 patients
Planned comparison
Mapping-guided left ventricular (LV) lead positioning to latest local electrical activation vs conventional LV lead positioning in CRT
Primary endpoint
Composite of:
  • Death
  • Nonplanned heart failure (HF) hospitalization
Follow-up
Minimum 2 years and until 264 primary endpoints
Methodological detailstrial design paper; no results, national, double-blind, 1:1 randomisation, ITT, Enrollment began March 2018; expected complete by mid-2024
  • Trial design paper; no results
  • National
  • Double-blind
  • 1:1 randomisation
  • ITT
  • Enrollment began March 2018; expected complete by mid-2024

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

Does targeted positioning of the left ventricular pacing lead towards the latest local electrical activation in cardiac resynchronization therapy reduce the incidence of death or hospitalization for heart failure? Am Heart J. Published 21 May 2023. doi:10.1016/j.ahj.2023.05.011

Composed by AI from the published abstract and checked against it. How Briefs are made →

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