Pacemaker Clinical Trial
Official title:
Advanced Bradycardia Device Feature Utilization and Clinical Outcomes
Pacemaker technology is constantly evolving. In the past 10 years, numerous advancements have
been made in pacemaker therapy, diagnostics and connectivity. These advancements include
automated capture, automated sensing, patient alert functions, algorithms minimizing
ventricular pacing, automatic mode switching in response to atrial tachyarrhythmia, rate
responsive pacing, advanced diagnostic features, remote monitoring and radiofrequency (RF)
technology. However, little information is available on how these new features are being
utilized by physicians in the real world and how these features impact patient outcomes.
This observational study will gather data on the patients' presenting clinical status,
indication for device implantation, utilization of advanced device features, device therapy
choices, clinical management and outcomes in a general pacemaker population.
The primary aim of the study is to evaluate the usage of advanced features and diagnostics in
patients with St. Jude Medical pacemakers. The secondary aim of the study is to learn more
about the progressive clinical outcomes in the general pacemaker patient population. The
tertiary aim of the study is to evaluate the correlation between the usage of advanced
features in pacemaker patients and the patient's clinical outcomes.
Evaluation of Device Features and Diagnostics
- Programmed parameters: Advanced pacemaker features (Autocapture, Auto sensitivity
control (ASC), Ventricular Intrinsic Preference (VIP®), Patient Notifier, RF telemetry,
and newer advanced features)
- Device and lead measurements
- Number of AT/AF, VT/VF, PMT and AMS episodes
Evaluation of Clinical Parameters
- Indication for device implantation
- Cardiac and arrhythmia history
- Cardiac drug utilization
- Cardiac events: incidence and onset of symptomatic atrial fibrillation (AF), onset of
heart failure (HF), incidence and onset of angina, occurrence of myocardial infarction
(MI), occurrence of transient ischemic attack (TIA)/ischemic stroke, and occurrence of
hemorrhagic stroke
- Modified Specific Activity Scale (SAS)
- Intrinsic QRS duration
- Left ventricular ejection fraction (LVEF)
- Adverse events
- All-cause, cardiovascular and heart failure hospitalizations
- All-cause, cardiovascular and heart failure mortality
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