Pacing of the Atria in Sick Sinus Syndrome Trial Preventive Strategies for Atrial Fibrillation
A Randomized, Prospective Multicenter Study to Examine the Optimal Position of the Atrial Leads for Therapy of the Sinus Node Syndrome
1 other identifier
interventional
456
1 country
12
Brief Summary
The purpose of this study is to determine which of 4 lead positions is most effective for pacemaker patients with Sick Sinus Syndrome in order to avoid development of atrial fibrillation.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4
Started Jul 2000
Longer than P75 for phase_4
12 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2000
CompletedFirst Submitted
Initial submission to the registry
September 9, 2005
CompletedFirst Posted
Study publicly available on registry
September 12, 2005
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2006
CompletedOctober 20, 2006
October 1, 2006
September 9, 2005
October 19, 2006
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
The incidence of AF is determined via memory of the pacemaker, which is saved at every follow-up visit at 1 and 10 days after implant and further on at 3, 6, 12, 18 and 24 months after implant.
24-Hour ECG and treadmill exercise as well as echocardiography shall be performed before implant and 6, 12 and 24 months after implant
Secondary Outcomes (2)
Treadmill exercise test as well as echocardiography shall be performed before implant and 6, 12 and 24 month after implant.
Quality of Life questionnaires are obtained before implant and 12 and 24 months after implants
Interventions
Eligibility Criteria
You may qualify if:
- Sick Sinus Syndrome
- Symptomatic sinus bradycardia
- Symptomatic SA block
- Bradycardia-Tachycardia-Syndrom
- Binodal diseases, Sinus Node Syndrome and high degree AV-Block
- In case of antiarrhythmic drug therapy: patient must be on a stable dose for at least 3 months before enrollment
You may not qualify if:
- Permanent atrial tachycardia that cannot be transferred into sinus rhythm by drugs or electric cardioversion
- Decompensated heart failure
- Dilatative cardiomyopathy with an ejection fraction \< 35%
- Hypertrophic obstructive cardiomyopathy
- Symptomatic hypo- or hyperthyreosis
- Myocardial infarction less than 6 months ago
- Planned cardiac surgery intervention
- Pregnant woman
- Patients under 18 years of age
- Patients involved in other studies
- Patients, already implanted with other (cardiac) leads
- Patients with reduced expectancy of life due to other diseases
- Patients who are not able to agree in participation of the study
- Patients, who cannot attend follow-up visits due to their place of residence
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Medtronic BRClead
- Vitatron GmbHcollaborator
Study Sites (12)
Helios-Klinikum Aue
Aue, 08280, Germany
Klinikum Coburg
Coburg, 96450, Germany
Ambulantes Herz-Zentrum Dresden
Dresden, 01099, Germany
Werner-Forssmann-Krankenhaus GmbH
Eberswalde, 16225, Germany
Klinikum der Joh.-Wolfgang-Goethe-Universität
Frankfurt, 60596, Germany
Städtisches Krankenhaus Friedrichshafen
Friedrichshafen, 88048, Germany
Universitätskrankenhaus Eppendorf
Hamburg, 20251, Germany
Evang. Krankenhaus
Holzminden, 37603, Germany
Klinikum Ingolstadt
Ingolstadt, 85049, Germany
Evangelisches Krankenhaus Kalk GmbH
Köhl, 51103, Germany
Kreiskrankenhaus Leer
Leer, 26789, Germany
Krankenhaus Maria Hilf
Mönchengladbach, 41063, Germany
Related Publications (3)
Andersen HR, Nielsen JC, Thomsen PE, Thuesen L, Mortensen PT, Vesterlund T, Pedersen AK. Long-term follow-up of patients from a randomised trial of atrial versus ventricular pacing for sick-sinus syndrome. Lancet. 1997 Oct 25;350(9086):1210-6. doi: 10.1016/S0140-6736(97)03425-9.
PMID: 9652562BACKGROUNDRosenqvist M, Brandt J, Schuller H. Long-term pacing in sinus node disease: effects of stimulation mode on cardiovascular morbidity and mortality. Am Heart J. 1988 Jul;116(1 Pt 1):16-22. doi: 10.1016/0002-8703(88)90244-x.
PMID: 3394616BACKGROUNDPrakash A, Saksena S, Hill M, Krol RB, Munsif AN, Giorgberidze I, Mathew P, Mehra R. Acute effects of dual-site right atrial pacing in patients with spontaneous and inducible atrial flutter and fibrillation. J Am Coll Cardiol. 1997 Apr;29(5):1007-14. doi: 10.1016/s0735-1097(97)00043-0.
PMID: 9120152BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Stefan G. Spitzer, MD
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
September 9, 2005
First Posted
September 12, 2005
Study Start
July 1, 2000
Study Completion
June 1, 2006
Last Updated
October 20, 2006
Record last verified: 2006-10