Imaging Techniques for Identifying Factors of Sudden Cardiac Death Risk
Study Details
Study Description
Brief Summary
Sudden cardiac death is a tragic event that strikes all age groups and is unfortunately increasing in prevalence. Because it is difficult to predict those at highest risk, this study is designed to test the hypothesis that new imaging techniques (magnetic resonance imaging [MRI] and computed tomography [CT]) are useful for identifying factors which put people at high risk for sudden death.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Detailed Description
Some people with heart disease and a weak heart muscle experience abnormal electrical activity of the heart that may predispose them to sudden death. In light of this risk, it has been recommended that such patients undergo implantation of an implantable cardioverter defibrillator (ICD). Your doctors have determined that you are such a patient and are to undergo implantation of an ICD. It is unclear who among the many patients who undergo ICD implantation for this reason are at greatest risk of sudden death and therefore require electrical response from their ICD. This research is being done to determine whether new imaging tests, such as magnetic resonance imaging (MRI) or multi-detector computed tomography (MDCT), can be used to predict who is at highest risk of sudden death and require electrical response from their ICD.
Study Design
Outcome Measures
Primary Outcome Measures
- sudden cardiac death [6 month intervals]
- cardiovascular death [6 month intervals]
- appropriate ICD discharge [6 month intervals]
- composite sudden cardiac death and appropriate ICD discharge [6 month intervals]
Secondary Outcome Measures
- heart failure admission [6 month intervals]
Other Outcome Measures
- cardiac transplantation [6 month intervals]
- myocardial revascularization [6 month intervals]
- left ventricular assist device placement [6 month intervals]
- biventricular pacemaker placement [6 month intervals]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Left ventricular ejection fraction <or = 35%
-
Planned implantable cardioverter-defibrillator (ICD) implantation for clinical indications (primary prevention)
Exclusion Criteria:
-
History of sudden death (secondary prevention)
-
Contraindication to undergoing MRI (metallic implant, pacemaker, etc.)
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Johns Hopkins Medical Institutions | Baltimore | Maryland | United States | 21287 |
Sponsors and Collaborators
- Johns Hopkins University
- Donald W. Reynolds Foundation
Investigators
- Principal Investigator: Katherine C Wu, MD, Johns Hopkins University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- NA_00037404