Ventricular Arrhythmias Incidence According to Sleep Apnea Syndrome in Implantable Cardioverter-Defibrillator (ICD) Patients
1 other identifier
interventional
755
4 countries
31
Brief Summary
The purpose of this study is to report the incidence of ventricular arrhythmias correlated to the SAS and to focus on the interest of diagnosing Sleep-disorders breathing in ICD patients. This diagnosis will be assessed by an ambulatory nasal pressure recording with portable multi-channel recorder associated to a complete SAS related symptoms questionnaire.This clinical trial will be the first step to gather information about the suspected sleep relation between ventricular arrhythmias and Sleep breathing disorders, in order to improve the management and treatment of such arrhythmias in next generation of defibrillators which will integrate a minute ventilation sensor able to monitor breathing.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4
Started Apr 2004
Longer than P75 for phase_4
31 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
April 1, 2004
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2007
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2007
CompletedFirst Submitted
Initial submission to the registry
April 7, 2008
CompletedFirst Posted
Study publicly available on registry
July 2, 2008
CompletedJuly 2, 2008
June 1, 2008
3.5 years
April 7, 2008
June 30, 2008
Conditions
Outcome Measures
Primary Outcomes (1)
The primary objective of this study is to assess the correlation between ventricular arrhythmias and Sleep apnoea syndrome in ICD patients during a 12-month follow-up.
12 months
Secondary Outcomes (3)
To determine the number of arrhythmias in the morning (between 06:00 and 12:00 AM). The circadian distribution of global arrhythmias will be presented.
12 months
To report and compare the number of hospitalizations, mortality, and morbidity according to Respiratory Disturbance Index (RDI).
12 months
To evaluate the incidence of adverse events in the studied population: device-related adverse events with an actual or potential effect on the patient, serious adverse events not related to the device, mortality, and unanticipated adverse device effects
12 months
Interventions
Eligibility Criteria
You may qualify if:
- Patients who are at risk of sudden death due to ventricular arrhythmia and who satisfy at least one of the following criteria are eligible for enrolment:
- Class I indications for ICD
- Survival of at least one episode of cardiac arrest due to VT or VF not due to a transient or reversible cause, or presumed to be due to VF when electrophysiological testing is precluded by other medical conditions; or
- Spontaneous sustained ventricular tachycardia, or
- Syncope of undetermined origin with clinically relevant haemodynamically significant sustained VT or VF induced at electrophysiological study when drug therapy is ineffective, not tolerated or not preferred, or
- Class IIa Indication for ICD
- Non-sustained VT with coronary disease, prior myocardial infarction, left ventricular dysfunction (≤ 40%) and inducible VF or sustained VT at electrophysiological study.
- With prior myocardial infarction and LVEF less than 30 % (without prior life-threatening arrhythmia or sustained VT).
- Patients candidate for cardiac resynchronization therapy (CRT) need to be in functional Class III or IV of the NYHA classification.
- Patients will be included only after having granted their informed consent to participate in the study, preceded by the delivery of appropriate information
You may not qualify if:
- VT/VF is associated with drug toxicity, electrolyte imbalance, hypoxia, electrocution or other reversible cause;
- VT/VF occurred during the acute phase of infarction (\< 1 week) or during an unstable ischemic phase;
- Incessant VT/VF;
- Implanted pacemaker that is not going to be explanted or otherwise disabled;
- Inability or refusal to provided informed consent
- Tricuspid valvular disease or tricuspid mechanical heart valve (lead contraindication);
- Unable to understand the purpose and plan of the study;
- Geographically unstable or not available for follow-up as defined in the investigational plan;
- Reduced life expectancy (≤ 1 year) for other than cardiovascular reasons;
- Patient participating in another clinical study;
- Patient of minor age (\< 18 years);
- Pregnancy (Women of childbearing potential are required to have a negative pregnancy test within seven days prior to enrollment).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- LivaNovalead
Study Sites (31)
CHRU Hopital de la cavale blanche
Brest, France
CHU
Clermont-Ferrand, France
CHU - Hopital Michallon
Grenoble, 38043, France
CHU Dupuytren
Limoges, France
Hopital cardiologique
Lyon, France
Hopital Saint Joseph et saint Luc
Lyon, France
Hopital Nord
Marseille, France
CHR Notre Dame de Bonsecours
Metz, France
CH Montpellier
Montpellier, France
Nouvelle Clinique Nantaise
Nantes, France
Clinique Bizet
Paris, 75116, France
Clinique Bizet
Paris, France
CH Pau
Pau, France
CHU Hopital la Milétrie
Poitiers, France
CHR Cardiologie A
Rennes, France
CHU Charles Nicolle
Rouen, France
Clinique Pasteur
Toulouse, France
CHRU Hopital Trousseau
Tours, France
Clinique Saint gatien
Tours, France
CHRU Brabois
Vandœuvre-lès-Nancy, France
Herz-Kreislauf-Klinik Bevensen AG
Bad Bevensen, Germany
Universitatsklinikum Hamburg Eppendorf
Hamburg, Germany
Prof. Frey Praxis Starnberg
Starnberg, Germany
Onassis Cardiac Surgery Center
Athens, Greece
Ospedale Mellini
Chiari (BS), Italy
Osp. Civile
Desio, Italy
Casa di Cura Montevergine
Mercogliano, Italy
Policlinico de Modenna
Modenna, Italy
Instituto di Cura
Pavia, Italy
Hospitale civile Guglielmo da Saliceto
Piacenza, Italy
Policlinico San Donato
San Donato, Italy
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Frédéric Anselme, MD
CHU Charles Nicolle - Rouen
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
April 7, 2008
First Posted
July 2, 2008
Study Start
April 1, 2004
Primary Completion
October 1, 2007
Study Completion
October 1, 2007
Last Updated
July 2, 2008
Record last verified: 2008-06