CRT devices: Echo vs Electrical optimisation

  • Research type

    Research Study

  • Full title

    Echocardiography in comparison to electrical optimisation for Cardiac Resynchronisation Therapy (CRT) devices: is there a difference?

  • IRAS ID

    213786

  • Contact name

    Paul Gray

  • Contact email

    paulgray@nhs.net

  • Sponsor organisation

    NHS National Waiting Times Board

  • Duration of Study in the UK

    0 years, 3 months, 5 days

  • Research summary

    Heart failure is a complex syndrome which causes a reduction in the hearts ability to efficiently pump blood around the body. The heart has two top receiving chambers (atria) and two bottom pumping chambers (ventricles). During a normal heart beat the blood moves from the top chambers to the bottom chambers. In heart failure there is a discoordination of the contracting ventricles, which results in less blood being pumped out the heart. In order to coordinate the pumping action of the heart Cardiac Resynchronization Therapy (CRT) devices are used. These devices aim to stimulate the heart into beating at the correct time. Crucially, the timing of atrial (top chamber) contraction contributes to overall movement of blood through the heart. The timing of the atrial contraction and the proceeding ventricular contraction can be optimised in CRT devices. Echocardiography is used to visualise this movement of blood and the CRT can be programmed to optimize this timing to allow the full emptying of the atria into the ventricles.
    The aim of this study is to standarise optimisation practices within the department. This could potentially give patients better outcomes after the implatation of their CRT device.

  • REC name

    London - Surrey Borders Research Ethics Committee

  • REC reference

    17/LO/0265

  • Date of REC Opinion

    8 Feb 2017

  • REC opinion

    Unfavourable Opinion