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The study population is smaller than expected. No subjects were included.
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In patients with broad QRS complexes on electrocardiogram (ECG), the delayed electrical activation of the left heart chamber will cause abnormal contraction.This has been shown to be possible to treat by a special pacemaker treatment which includes pacing of the left heart chamber (= CRT treatment).
In this study the researchers will investigate the effect of acute CRT treatment in the early phase after open heart surgery.
Patients with bundle branch block have a delayed electrical activation of the left ventricle causing abnormal contractility of the left ventricle.
We hypothesize that patients may benefit from short term (= 72 hours) CRT (Cardiac Resynchronization Therapy) in the early phase after open heart surgery.
Patients: reduced LV function and bundle branch block.
Study type: randomisation to CRT versus standard postoperative treatment
Study variables: cardiac output, echocardiographic measures, p-BNP and hours with inotropic therapy.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Temporary cardiac resynchronization therapy | Procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Non invasive cardiac output after 72 hours CRT (versus control) treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Echocardiographic measures of left ventricular (LV) function | ||
| Mixed venous oxygen saturation | ||
| Invasively determined cardiac output |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jesper H Svendsen, MD | Rigshospitalet, Denmark | Principal Investigator |
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| ID | Term |
|---|---|
| D002037 | Bundle-Branch Block |
| D006333 | Heart Failure |
| ID | Term |
|---|---|
| D006327 | Heart Block |
| D001145 | Arrhythmias, Cardiac |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| Plasma brain natriuretic peptide (p-BNP) |
| Number of hours with inotropic treatment |
| D000075224 |
| Cardiac Conduction System Disease |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |