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Reverse Electrical Remodeling of Native Conduction in Cardiac Resynchronization Therapy (RER-CRT)

This study is ongoing, but not recruiting participants.
Information provided by (Responsible Party):
Larisa Tereshchenko, Johns Hopkins University Identifier:
First received: August 14, 2013
Last updated: September 1, 2015
Last verified: September 2015
Cardiac resynchronization therapy with pacemaker alone, or in combination with a cardioverter-defibrillator, prolongs life and decreases risk of heart failure exacerbation in patients with low ejection fraction and wide QRS. Some patients achieve decrease in QRS duration 6 months after cardiac resynchronization therapy. Such fenomenon is called reverse electrical remodeling of native conduction. Retrospective analysis showed that reverse electrical remodeling of the native conduction after at least 6 months of CRT is associated with decreased rate of ventricular arrhythmias and better survival. This study is designed to study reverse electrical remodeling prospectively.

Condition Intervention
Heart Failure. An Approved Indication Per ACC/AHA/HRS Guidelines for Implantation of a Cardiac Resynchronization Therapy Defibrillator Other: this is an observational study. No intervention

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Prospective
Official Title: Study of Reverse Electrical Remodeling of Native Conduction in Cardiac Resynchronization Therapy

Resource links provided by NLM:

Further study details as provided by Larisa Tereshchenko, Johns Hopkins University:

Primary Outcome Measures:
  • Sustained ventricular tachyarrhythmias [ Time Frame: 10 years ]

Secondary Outcome Measures:
  • Heart Failure Hospitalizations [ Time Frame: 10 years ]

Other Outcome Measures:
  • All-cause mortality [ Time Frame: 10 years ]

Estimated Enrollment: 70
Study Start Date: December 2011
Estimated Study Completion Date: January 2021
Estimated Primary Completion Date: January 2021 (Final data collection date for primary outcome measure)
Groups/Cohorts Assigned Interventions
Patients with implanted cardiac resynchronization therapy defibrillator
Other: this is an observational study. No intervention


Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population
Heart Failure Patients with currently approved indications for implantation of cardiac resynchronization therapy defibrillator

Inclusion Criteria:

  • an approved indication per ACC/AHA/HRS guidelines for implantation of a CRT-D

Exclusion Criteria:

  • age < 18 y
  • pregnancy or planned pregnancy
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01924221

United States, Maryland
Johns Hopkins Hospital
Baltimore, Maryland, United States, 21287
Sponsors and Collaborators
Johns Hopkins University
Principal Investigator: Larisa Tereshchenko, MD, PhD Johns Hopkins University
  More Information

Responsible Party: Larisa Tereshchenko, Adjunct Assistant Professor, Johns Hopkins University Identifier: NCT01924221     History of Changes
Other Study ID Numbers: RER CRT
NA_00065477 ( Other Identifier: JHU SOM IRB )
Study First Received: August 14, 2013
Last Updated: September 1, 2015

Additional relevant MeSH terms:
Heart Failure
Atrial Remodeling
Heart Diseases
Cardiovascular Diseases
Pathological Conditions, Anatomical
Pathologic Processes processed this record on September 21, 2017