Heart Failure Clinical Trial
Official title:
Phase IV Long Term Observational Study of Patients Implanted With Medtronic CRDM Implantable Cardiac Devices
To construct a computerized database of national profiles and epidemiological data on
patients wearing Medtronic implantable pacemakers and cardioverter defibrillators (both with
or without cardiac resynchronization therapy), implantable loop recorders and leads used
within their intended use.
Clinical variables will be analyzed in relation to device-based data and diagnostics.
PANORAMA will collect a large database of device behavior, for instance to monitor long term
behavior of device features, technical reliability and longevity, as well as to allow
studying device performance in different subgroups of patients. Larger databases are often
essential for formulating and testing study hypotheses for prospective (randomized) trials.
While it may depend on specific objectives for individual devices, reliable assessment of
device performance over longer periods and in broad patient populations typically requires a
study population from a few hundred to a few thousand patients. PANORAMA collects acute and
chronic patient and device data in a large population during routine usage of the device,
without specific study interventions, and always within the approved intended use of the
device.
In the past, observational studies were designed and conducted specifically on a
device-by-device case. PANORAMA avoids the redesign of the same set of data. It establishes a
core database which can be expanded with substudies creating more detailed data sets for
particular CRDM devices/features.
PANORAMA will be open for inclusion to any patient (to be) implanted with a CRDM device. It
shall be suitable for current and upcoming CRDM devices implanted in patients. It will serve
as an epidemiological tool designed to stratify morbidity and mortality of all cardiac
diseases treated by implantable CRDM devices.
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