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EnTRINSIC - EnPulse Trial on Search AV+ Influence

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Medtronic

Status and phase

Terminated
Phase 4

Conditions

Arrhythmia, Sinus

Treatments

Device: Search AV+ algorithm

Study type

Interventional

Funder types

Industry

Identifiers

NCT00157794
CEN_G_CA_2

Details and patient eligibility

About

Right ventricular apical pacing in patients treated with a pacemaker is unnecessary in cases where patients have stable atrioventricular (AV)-conduction. Recent findings demonstrate that pacing even might have unfavourable effects, especially if patients suffer from additional cardiac diseases such as heart failure. The Search AV+ algorithm was designed to avoid ventricular pacing and support intrinsic AV-conduction in order to avoid possible detrimental effects of right ventricular apical pacing. The goal of the EnTRINSIC study is to assess the amount of ventricular stimulation, the amount of hospitalizations, the occurrence of atrial fibrillation and the usage of drugs in patients treated with pacemakers with an activated Search AV+ algorithm versus patients treated with an individual optimization of the pacemaker settings to minimize the amount of right ventricular pacing.

Enrollment

135 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Patients with sinus node disease and an intrinsic AV delay of maximal 260 ms
  • Patients treated with a Medtronic pacemaker with Search AV+ algorithm

Exclusion criteria

  • Patients with documented persistent atrial fibrillation within 6 months before implantation and slow AV-conduction
  • New York Heart Association (NYHA) III/IV
  • Instable angina pectoris
  • Heart valve vitium
  • Persistent AV-block II and III
  • Early diastolic mitral regurgitation
  • Implantable cardioverter defibrillator
  • Participation in other clinical studies
  • Pregnancy or unreliable birth control
  • AV-block under strain

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

Trial contacts and locations

14

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Data sourced from clinicaltrials.gov

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