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Trial record 1 of 65 for:    "sick sinus syndrome" OR "sinus node disease" OR "sinus node dysfunction"
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A Comparison of Rate Response Performance in Pacemaker Patients With an Indication of Sinus Node Dysfunction (CRIPS)

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ClinicalTrials.gov Identifier: NCT02027909
Recruitment Status : Completed
First Posted : January 6, 2014
Last Update Posted : April 25, 2018
Sponsor:
Collaborator:
Medtronic
Information provided by (Responsible Party):
Arun Rao, Wellmont CVA Heart Institute

Brief Summary:

Providing ideal rate response to patients should improve their quality of life and ability to execute activities of daily living.

Medtronic pacemakers provide rate response pacing by utilizing dual zone programming to specify an "activities of daily living" (ADL) response rate and an "exertion" response rate. There is much data to support the target heart rate for an exercise response but the data to support the programming of the ADL rate is lacking.


Condition or disease Intervention/treatment
Sinus Node Dysfunction Device: Reprogramming dual chamber pacemaker

Detailed Description:

Medtronic pacemakers provide rate response pacing by utilizing dual zone programming to specify an "activities of daily living" (ADL) response rate and an "exertion" response rate. There is much data to support the target heart rate for an exercise response but the data to support the programming of the ADL rate is lacking.

Unpublished Holter data from our center indicates that the ADL rate for most patients in our practice is between 50-70bpm rather than 95bpm. Moreover, this increased ADL rate may impact diastolic filling times and adversely impact cardiac output.


Study Type : Observational [Patient Registry]
Actual Enrollment : 8 participants
Observational Model: Case-Control
Time Perspective: Prospective
Target Follow-Up Duration: 9 Months
Official Title: A Comparison of Rate Response Performance in Pacemaker Patients With an Indication of Sinus Node Dysfunction.
Study Start Date : November 2011
Actual Primary Completion Date : April 2015
Actual Study Completion Date : April 2015

Resource links provided by the National Library of Medicine


Group/Cohort Intervention/treatment
Therapy group one
Lower rate of 60 bpm and out of the box rate response settings of an ADL Rate of 95 bpm and rate profile optimization on with the only change being adjusting the activity threshold from med/low to low.
Device: Reprogramming dual chamber pacemaker
Reprogramming rate response feature in the Medtronic pacemaker to each arm with crossover
Other Name: Medtronic dual chamber pacemaker

Therapy group two
Rate response programming will be determined by an exercise test consisting of a 2 minute hall walk will be performed at the 2 week follow up and set points will be manually adjusted to achieve an ADL rate of 95 bpm. Rate Profile Optimization will be turned off. Activity threshold is programmed to low.
Device: Reprogramming dual chamber pacemaker
Reprogramming rate response feature in the Medtronic pacemaker to each arm with crossover
Other Name: Medtronic dual chamber pacemaker

Therapy group three
Lower rate of 60 bpm and the ADL rate based upon 220- age x 55%. Activity threshold is programmed to low. Rate Profile Optimization will be turned ON.
Device: Reprogramming dual chamber pacemaker
Reprogramming rate response feature in the Medtronic pacemaker to each arm with crossover
Other Name: Medtronic dual chamber pacemaker




Primary Outcome Measures :
  1. symptom improvement [ Time Frame: study duration of 9 mths ]
    Patient report symptoms by clinician interview and patient symptom questionnaire


Secondary Outcome Measures :
  1. improvement seen on device interrogations and reported improvement of symptoms [ Time Frame: study duration of 9 mths ]
    Two minute hall walk distance Heart rate histograms and sensor indicated rate profile obtained from device interrogation Patient reported symptoms Patient symptom questionnaire Quality of life as measured by SF-36



Information from the National Library of Medicine

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Ages Eligible for Study:   60 Years to 95 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population
New implantation of a dual chamber pacemaker due to symptomatic sinus dysfunction or chronotropic incompetence defined as exercise heart rate less than 100 beats per minute
Criteria

Inclusion Criteria:

  • Diagnosis of hypertension
  • Sinus node dysfunction
  • New implantation of a dual chamber pacemaker due to symptomatic sinus dysfunction or chronotropic incompetence defined as exercise heart rate less than 100 beats per minute

Exclusion Criteria:

  • Second or Third degree AV block
  • Age less than 60 or greater than 95 years
  • EF less than 45%
  • Patients that are not ambulatory
  • Persistent atrial fibrillation (atrial fibrillation lasting greater than 7 days)
  • Permanent atrial fibrillation (atrial fibrillation lasting great than 1 year)

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02027909


Locations
United States, Tennessee
Wellmont CVA Heart Institute
Kingsport, Tennessee, United States, 37660
Sponsors and Collaborators
Arun Rao
Medtronic
Investigators
Principal Investigator: Arun Rao, MD Wellmont CVA Heart Institute

Publications:
Responsible Party: Arun Rao, Arun Rao, MD. FACC, Wellmont CVA Heart Institute
ClinicalTrials.gov Identifier: NCT02027909     History of Changes
Other Study ID Numbers: CRIPS
First Posted: January 6, 2014    Key Record Dates
Last Update Posted: April 25, 2018
Last Verified: April 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Keywords provided by Arun Rao, Wellmont CVA Heart Institute:
Sinus Node Dysfunction

Additional relevant MeSH terms:
Sick Sinus Syndrome
Arrhythmia, Sinus
Arrhythmias, Cardiac
Heart Diseases
Cardiovascular Diseases
Heart Block
Pathologic Processes