Follow-up of Patients With Implantable Cardioverter Defibrillators by Home Monitoring (ANVITE)
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Purpose
Patients with implantable cardioverter defibrillators (ICDs) should undergo regular device follow-ups every 3 months, to verify proper ICD function. However, many follow-ups are uneventful, revealing no relevant changes related to the implanted device and in the patient's diagnostic and therapeutic status. For time and economic reasons, longer follow-up intervals are frequently used although they are not according to recommendations. This may increase the delay in detection of relevant changes in the disease and in deviations from optimal ICD therapy in the individual patients. In the newest ICDs, the essential parameters reflecting safety and appropriateness of ICD therapy (threshold, impedance, intracardiac electrogram, etc.) are transmitted via Home Monitoring on a daily basis, to an internet platform accessible by the attending physician.
In the present study, the investigators evaluate safety and efficacy of 12-month follow-up intervals in ICDs with Home Monitoring capability, as compared with conventional 3-month follow-up scheme.
| Condition | Intervention |
|---|---|
|
Cardiac Pacing Electric Countershock Ventricular Tachyarrhythmia |
Device: Implantable cardioverter defibrillator with Home Monitoring function Device: Standard implantable cardioverter defibrillator |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Supportive Care |
| Official Title: | Follow-up of Patients With Implantable Cardioverter Defibrillators by Home Monitoring (ANVITE) |
- Significant adverse events, especially death, hospitalization, inadequate device therapies [ Time Frame: 27 months ] [ Designated as safety issue: Yes ]
- All-cause mortality [ Time Frame: 27 months ] [ Designated as safety issue: Yes ]
- Number of device follow-ups [ Time Frame: 27 months ] [ Designated as safety issue: Yes ]
- Quality of life [ Time Frame: 27 months ] [ Designated as safety issue: No ]
| Enrollment: | 110 |
| Study Start Date: | March 2009 |
| Estimated Study Completion Date: | December 2011 |
| Estimated Primary Completion Date: | September 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
Home Monitoring
|
Device: Implantable cardioverter defibrillator with Home Monitoring function
Implantable cardioverter defibrillators can send data from its diagnostic and therapy memory via wireless Home Monitoring on a daily basis to an internet based platform, securely accessed by the attending physician
Other Names:
|
|
Active Comparator: 2
Home Monitoring not used
|
Device: Standard implantable cardioverter defibrillator
Implantable cardioverter defibrillators used as standard devices without Home Monitoring
Other Name: Lumax 500/540 VR-T
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Indication for a single-chamber implantable cardioverter-defibrillator (ICD)
Exclusion Criteria:
- Contraindication for ICD
- Indication for dual-chamber ICD or cardiac resynchronization therapy
Contacts and Locations| Germany | |
| Cardiology in Tangram House | |
| Düsseldorf, Germany, 40237 | |
| Principal Investigator: | Stefan Perings, M.D. | Cardiology in Tangram House, Düsseldorf, Germany |
More Information
No publications provided
| Responsible Party: | Dr. Frank Miermeister, Biotronik SE & Co. KG |
| ClinicalTrials.gov Identifier: | NCT00858559 History of Changes |
| Other Study ID Numbers: | HS047 |
| Study First Received: | March 9, 2009 |
| Last Updated: | May 19, 2011 |
| Health Authority: | Germany: Federal Institute for Drugs and Medical Devices |
Keywords provided by Biotronik SE & Co. KG:
|
Implantable cardioverter defibrillator Remote monitoring Follow-up |
Additional relevant MeSH terms:
|
Tachycardia, Ventricular Tachycardia Arrhythmias, Cardiac |
Heart Diseases Cardiovascular Diseases Pathologic Processes |
ClinicalTrials.gov processed this record on May 16, 2013