MRI Assessment of Patient Suitability for Cardiac Resynchronization Therapy (CRT)
Study Details
Study Description
Brief Summary
The goals of this project are to: 1) explore the potential use of magnetic resonance imaging (MRI) data for improved prediction of response to cardiac resynchronization (CRT), and 2) use the MRI-derived data together with a computer model of the cardiovascular system to study the relative roles of different factors in the mechanical effects of dyssynchrony in failure, and in the response (or lack thereof) to CRT.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Active Comparator: Heart Failure Patients patients who are scheduled to undergo clinically ordered CRT for heart failure complicated by dyssynchrony |
Procedure: Cardiac MRI
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Active Comparator: Control 20 matched control subjects |
Procedure: Cardiac MRI
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Outcome Measures
Primary Outcome Measures
- Derivation of score of patient suitability for CRT [4 Years]
Binary logistic regression and receiver operating characteristic curve (ROC) analyses will be used to assess the utility of baseline (pre-CRT) MRI-derived measures, alone and in combination, for the prediction of response to CRT.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Male and female patients ages 18 and over scheduled by conventional criteria (symptomatic impairment of cardiac function with broadened QRS) for clinical CRT procedures at NYULMC.
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Normal kidney function as determined by GFR levels.
Inclusion Criteria for Controls
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Normal kidney function as determined by GFR levels
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No significant cardiovascular disease or risk factors.
Exclusion Criteria:
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electrical implants such as cardiac pacemakers or perfusion pumps
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ferromagnetic implants such as aneurysm clips, surgical clips, prostheses, artificial hearts, valves with steel parts, metal fragments, shrapnel, tattoos near the eye, or steel implants
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ferromagnetic objects such as jewelry or metal clips in clothing (which will be removed)
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pre-existing medical conditions including a likelihood of developing seizures or claustrophobic reactions, and any greater than normal potential for cardiac arrest.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | New York University School of Medicine | New York | New York | United States | 10016 |
Sponsors and Collaborators
- NYU Langone Health
Investigators
- Principal Investigator: Leon Axel, MD, New York University Medical School
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 14-01686