Heart Failure Clinical Trial
Official title:
Individually Tailored Cardiac Resynchronization Therapy - Combing Myocardial Strain and Cardiac CT to Optimize Left Ventricular Lead Placement in Cardiac Resynchronization Therapy
For patients with advanced heart failure, Cardiac Resynchronization Therapy (CRT) has been a
major improvement. The treatment improves symptoms and prolongs life in selected patients
with heart failure. However, with the current selection criteria and methods for implanting
the pacemaker, only 60-70% of the patients derive significant benefit from the treatment.
New imaging techniques, including advanced ultrasound and computed tomography, in combination
with new versatile multi-pole electrodes, have made an individually tailored therapy
possible. Using these techniques in combination, the study will investigate the effect of
individually based "optimal" placement of the pacemaker electrodes vs. standard care. The
optimal LV electrode position is defined as pacing a viable segment with the latest
mechanical delay, targeting a specific segment of the coronary sinus as visualised on cardiac
CT. The hypothesis is that this will increase the number of positive responders from 65% to
85%.
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