Heart failure & cardiomyopathies

Two-Year Outcomes of a Cardiac Microcurrent Device in Chronic Heart Failure: A First-In-Human Pilot Study

ESC Heart FailPublished Prospective follow-up of a first-in-human pilot study

Authors' conclusion

Long-term use of the C-MIC device appears safe with sustained improvements in NYHA class, LVEF, 6 min walk distance and quality of life

Study context

Population
Patients with chronic HF (New York Heart Association (NYHA) class III, mean left ventricular ejection fraction (LVEF) 31.7 ± 3.7%) from the initial C-MIC pilot study alive at 6 monthsof 10 in initial study
Participants
7 patients
Outcome
All-cause, cardiac- and device-related mortality; all-cause, cardiac and device-related hospitalisations; adverse events, device malfunctions and exchanges
Follow-up
2 years
Methodological detailssingle-group
  • Single-group

Main finding

As reported in the abstract

Safety (primary endpoint)

Device-related adverse events

0

Non-cardiac, non-device-related death at 18 months

1

Observational data: associations, not effects.

Secondary outcomes

LVEF change from baseline · 2 years post-C-MIC deactivation

Increase from baseline (%) (95% CI)P value
C-MIC12.56 (4.67–20.45)P = 0.002
OutcomeEstimateP value
LVEF change from baseline · 6 monthsimprovement from baseline 11.60 % (95% CI 5.64–17.56)P < 0.001
6-min walk distance change from baseline · 6 monthsimprovement from baseline 206.35 m (95% CI 161.32–251.39)P < 0.0001
6-min walk distance change from baseline · 2 yearsabove baseline 191 m (95% CI 131.83–250.99)P < 0.0001

NYHA class and SF-36 quality of life · 2 years

Improvements seen at 6 months preserved throughout 2-year follow-up

Need for prolonged therapy

Patients requiring C-MIC reactivation
1

Adverse events and deaths · 2 years

Device-related adverse events
0
Non-cardiac, non-device-related death at 18 months
1

Original publication

Two-Year Outcomes of a Cardiac Microcurrent Device in Chronic Heart Failure: A First-In-Human Pilot Study. ESC Heart Fail. Published 9 July 2025. doi:10.1002/ehf2.15369

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