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Interim analysis indicated that endpoints can not be analysed with current dataset.
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The aim of the study is the comparison of two different leads in their capabilities to detect episodes and duration of paroxysmal atrial fibrillation (AF) and atrial tachyarrhythmia (AT), and the rejection of far field sensing of the far field R-wave (FFRW).
The aim of the study is the comparison of two different leads in their capabilities to detect episodes and duration of paroxysmal AF and AT and the rejection of far field sensing of the far field R-wave (FFRW). The study aims to evaluate the accuracy of the detection of atrial tachyarrhythmias (ATAs). An improved detection can potentially increase the accuracy of clinical treatment decisions, based on device derived data.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Optisense lead | Active Comparator | Patients with an Accent pacemaker and an OptiSense atrial lead |
|
| Tendril lead | Active Comparator | Patients with an Accent pacemaker and a Tendril atrial lead |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Accent Pacemaker | Device | Implantation of pacemaker |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of undersensing of paroxysmal AF and AT from Holter recording. | 1-3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Number and duration of inappropriate mode switches due to FFRW sensing during sinus rhythm. | 1-3 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Willem De Voogt, MD PhD | St Lucas Andreas Hospital Amsterdam, Netherlands | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Lucas Andreas Ziekenhuis | Amsterdam | Netherlands |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34599455 | Derived | Pakarinen S, Lehto M, Ruiter J, de Voogt WG. Enhanced detection of atrial tachyarrhythmias with pacing devices by using more accurate atrial sensing. J Interv Card Electrophysiol. 2022 Apr;63(3):601-609. doi: 10.1007/s10840-021-01066-z. Epub 2021 Oct 1. |
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| ID | Term |
|---|---|
| D012804 | Sick Sinus Syndrome |
| D001281 | Atrial Fibrillation |
| ID | Term |
|---|---|
| D001146 | Arrhythmia, Sinus |
| D001145 | Arrhythmias, Cardiac |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| D006327 |
| Heart Block |
| D000075224 | Cardiac Conduction System Disease |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |