Intracardiac T-wave Alternans and Ischemia
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Purpose
T-wave alternans is a test that looks at microvolt changes in the T-wave on a beat to beat basis. The presence or absence of such changes has been shown to predict or exclude future arrhythmic events. The mechanism of T-wave alternans is unclear, but may relate to calcium metabolism in the heart, and may be affected by conditions such as ischemia or heart failure.
The purpose of this study is to determine whether T-wave alternans, as measured through the lead of an implantable defibrillator, is produced by acute ischemia induced by occlusion during percutaneous coronary interventions.
| Condition | Intervention |
|---|---|
|
Ischemia |
Procedure: Percutaneous coronary intervention |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Intracardiac T-wave Alternans and Ischemia During Percutaneous Coronary Interventions |
- Number of Subjects With Positive T Wave Studies During a Coronary Intervention [ Time Frame: During the coronary intervention, upto 2 hours ] [ Designated as safety issue: No ]Positive T wave alternans is determined by a proprietary program using ECG recordings during a stress test. The result is reported as positive, negative, or indeterminate.
| Enrollment: | 11 |
| Study Start Date: | August 2008 |
| Study Completion Date: | July 2012 |
| Primary Completion Date: | July 2012 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
Medtronic defibrillator
Patients undergoing a percutaneous coronary intervention (PCI) with an implanted Medtronic defibrillator with the capability of telemetry of the intracardiac signal.
|
Procedure: Percutaneous coronary intervention
PCI previously electively scheduled.
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Patients with coronary artery disease (CAD) undergoing PCI that also have an appropriate Medtronic implantable defibrillator.
Inclusion Criteria:
- patient with CAD undergoing PCI with appropriate Medtronic implantable defibrillator.
Exclusion Criteria:
- non-elective procedure
- non-qualifying defibrillator type.
Contacts and Locations| United States, New York | |
| Columbia University Medical Center | |
| New York, New York, United States, 10032 | |
| Principal Investigator: | Jose M Dizon, MD | Columbia University |
More Information
No publications provided
| Responsible Party: | Jose M. Dizon, Assoc Professor of Clinical, Department of Medicine Cardiology, Columbia University |
| ClinicalTrials.gov Identifier: | NCT00669552 History of Changes |
| Other Study ID Numbers: | AAAC6715 |
| Study First Received: | April 28, 2008 |
| Results First Received: | February 15, 2013 |
| Last Updated: | April 11, 2013 |
| Health Authority: | United States: Institutional Review Board |
Additional relevant MeSH terms:
|
Ischemia Pathologic Processes |
ClinicalTrials.gov processed this record on June 18, 2013