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Routine Mini-Invasive Electrophysiology Study for Patients Feeling Tachycardia, With a Negative Holter ECG

This study is currently recruiting participants.
Study NCT00251121.   Last updated on November 23, 2005.   Information provided by Sykehuset Telemark

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Descriptive Information Fields
Brief Title  Routine Mini-Invasive Electrophysiology Study for Patients Feeling Tachycardia, With a Negative Holter ECG
Official Title  Mini-Invasive Electrophysiology Study as a Routine Examination for Patients Complaining of Tachycardia, But With a Negative Holter ECG.
Brief Summary

Patients complaining of tachycardia but with a negative Holter ECG, are for a limited time period offered a simplified electrophysiological(EP) examination. By a full electrophysiological study(EP study)electrodes are introduced for pacing and sensing i all four heart chambers. Where as by the mini invasive EP study only one electrode is introduced to the right atrium. The simplified procedure represent a smaller risk of complications, requires less resources but should yield the same diagnoses in more than 90% of the cases. The study is a feasibility study to see if the procedure can discover arrythmias in a fairly unselected patient population.

Detailed Description

Sykehuset Telemark performs every year approximately 800 Holter ECG examinations. Approximately 200 of these are on the indications tachycardia, and in about 170 patients the examination does not discover any tachycardia Patients who were examined in the period from August 1. 2004 to November 1. 2005 with a negative Holter are mailed a letter with information of the min invasive electrophysiological examination, and an offer of volunteer participation. Patients given their informed consent are then according to waiting list called for the mini-invasive EP-study.

The protocol of the EP stimulation consists of: determination of pacing threshold, pacing with 8 asynchronous beats 600ms and an extrasystole with decremental intervals from 550 ms to 200 ms. The seri is repeated with pacing on 400ms and with two extrasystoles as well as with isoprenaline stimulation.

Study Phase
Study Type  Interventional
Study Design  Diagnostic, Non-Randomized, Open Label, Historical Control, Single Group Assignment, Safety/Efficacy Study
Primary Outcome Measure  Number of tachycardia diagnoses previously not known.
Number of complications
Secondary Outcome Measure  Quality of diagnoses after referral to university ref. centre
Condition  Pre-Excitation Syndromes
Paroxysmal Tachycardia
Atrial Fibrillation
Atrial Flutter
Wolff-Parkinson-White Syndrome
Intervention  Procedure: Mini-invasive electrophysiological study
MEDLINE PMIDs
Links
Recruitment Information Fields
Recruitment Status  Recruiting
Enrollment  100
Start Date  November 2005
Completion Date August 2006
Eligibility Criteria 

Inclusion Criteria:

  • History of complains of tachycardia
  • No arrythmias detected by a 24 hours Holter ECG
  • Age 19 to 74 years

Exclusion Criteria:

  • Patients younger than 18 years
  • Patients older than 75
Gender Both
Ages 18 Years to 75 Years
Accepts Healthy Volunteers No
Contacts ††
Contact: Jan Hysing, M.D. PhD     +47 35003500 ext 4123     jan.hysing@sthf.no    
Contact: Rolf F Berntsen, M.D. PhD     +47 23070000     rolf.franck.berntsen@rikshospitalet.no    
Location Countries  Norway
Administrative Information Fields
NCT ID  NCT00251121
Organization ID S-05116
Secondary IDs ††
Study Sponsor  Sykehuset Telemark
Collaborators †† Rikshospitalet HF
Investigators 
Principal Investigator:     Jan Hysing, MD. PhD.     Cardiologist at Medical Department Sykehuset Telemark    
Information Provided By Sykehuset Telemark
Verification Date October 2005
First Received Date  November 7, 2005
Last Updated Date November 23, 2005

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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