REmodeling the Left Ventricle With Atrial Modulated Pacing



Status:Recruiting
Conditions:Cardiology
Therapuetic Areas:Cardiology / Vascular Diseases
Healthy:No
Age Range:18 - 99
Updated:2/21/2019
Start Date:September 15, 2017
End Date:December 2019
Contact:REVAMP Clinical Study Manager
Email:medtronicCRMtrials@medtronic.com
Phone:1-800-328-2518

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New therapy tested in heart failure with preserved ejection fraction (HFpEF) patients with
approved indications for pacing to determine if elevated pacing therapy is tolerated and
whether there is a signal for efficacy.


Inclusion Criteria:

- Subject has had a market released dual chamber Medtronic Pacemaker with a Sleep
function for at least 3 months

- Subject is stable on current medications

- Subject has dyspnea with exertion or diagnosed as NYHA Class II or III Heart Failure

- Subject has had a prior Echo in past 6 months with: EF ≥ 50% and Diastolic volume <80
ml/m²

- Subject has evidence of hypertrophy (indexed to body surface area: men 115 g/m², women
95 g/m² or indexed to height: men 49.2 g/m2.7, women 46.7 g/m2.7) or Relative Wall
thickness >0.42, or Wall Thickness>1.2cm (posterior wall)

- Subject is willing to sign and date the study Informed Consent Form (IC Form) -
Subject is 18 years of age or older, or of legal age to give informed consent per
local law

- Subject is expected to remain available for follow-up visits

Exclusion Criteria:

- Subject has permanent AF or AF noted on baseline interrogation rhythm strip

- Subject has uncontrolled BP; (systolic pressure needs to be >100mmHg and <160mmHg on
medications)

- Subject has severe stenosis of the aortic or mitral valve, defined as valve area ≤1.0
cm² or severe regurgitation of the aortic or mitral valve

- Subject has symptomatic Chronic Obstructive Pulmonary Disease (COPD) requiring oxygen

- Subject's Pacemaker has less than 6 months of Pacemaker battery life

- Subject had an aortic valve replacement (surgical or TAVR) procedure less than 9
months prior to enrollment

- Subject's programmed upper rate limit is less than 100 bpm because of concerns of
elevated pacing

- Subject is unable or unwilling to perform the 6 Minute Walk Test at all scheduled
study visits

- Subject is currently enrolled or planning to enroll in a potentially confounding trial
during the course of the study (co-enrollment in concurrent studies is only allowed
when documented pre-approval is obtained from the Medtronic study manager)

- Subject is pregnant

- Subject meets any exclusion criteria required by local law

- Subject's life expectancy is less than 12 weeks

- Subject with medical condition that precludes the patient from participation in the
opinion of the investigator

- Subject has known coronary disease with Class II angina
We found this trial at
10
sites
Cincinnati, Ohio 45219
Principal Investigator: Eugene Chung
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1211 Medical Center Dr
Nashville, Tennessee 37232
(615) 322-5000
Principal Investigator: Deepak Gupta
Vanderbilt Univ Med Ctr Vanderbilt University Medical Center (VUMC) is a comprehensive healthcare facility dedicated...
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Charleston, South Carolina 29425
Principal Investigator: Sheldon Litwin
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303 East Superior Street
Chicago, Illinois 60611
Principal Investigator: Sanjiv Shah
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Chicago, IL
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410 W 10th Ave
Columbus, Ohio 43210
(614) 293-8652
Principal Investigator: Rami Kahwash
The Ohio State University, Wexner Medical Center Located in Columbus, The Ohio State University Wexner...
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Columbus, OH
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555 N Duke St
Lancaster, Pennsylvania 17602
(717) 544-5511
Principal Investigator: Amit Varma
Lancaster General Hospital For more than a century, Lancaster General Hospital has been a leader...
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Lancaster, PA
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2450 Riverside Ave
Minneapolis, Minnesota 55454
(612) 273-3000
Principal Investigator: IIknur Can
Phone: 612-624-7178
University of Minnesota Medical Center, Fairview Improving patients' lives drives the innovation that makes University...
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Stockton, California 95204
Principal Investigator: Cyrus Buhari
Phone: 209-461-5257
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Tucson, Arizona 85724
Principal Investigator: Mark Friedman
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Tucson, AZ
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Voorhees, New Jersey 08043
Principal Investigator: Robert Mohapatra
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Voorhees, NJ
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