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Principal Investigator:
Liaqat Zaman,
MD
Sub Investigators:
Nilofar Islam, MD
Rehan Mahmud, MD
Asim Yunus, MD
Sponsor:
Guidant Corporation (“Guidant”)
Study:
Rhythm ID Going Head-to-head Trial
Objective:
The Right trial is a randomized, prospective, two-arm study that will assess
the differential efficacy of Guidant ICDs using Rhythm ID versus competitive
Medtronic ICDs with Enhanced PR Logic or Wavelet discrimination algorithms.
Specifically, it will compare the incidence of inappropriate shocks.
Inclusion/Exclusion Criteria
Inclusion:
-
Patients who meet current indications for ICD.
-
Patients who sign and date a Patient Informed
Consent form prior to the implant visit.
-
Patients who remain in the clinical care of
the enrolling physician in approved centers.
-
Patients who are able to tolerate ICD
programming as specifically prescribed in the protocol.
Exclusion:
-
Patients who are in third degree heart block.
-
Patients whose life expectancy is less than
12 months.
-
Patients who have other cardiac surgeries or
procedures planned but not yet performed during the duration of the study.
-
Patients who are currently enrolled in
another investigational study or registry that would directly impact the
treatment or outcome of the current study. Each instance should be brought to
the attention of Integra Clinical Trial Solutions (Integra CTS) to determine
eligibility.
-
Patients who are younger than 18 years of
age.
-
Patients who are mentally incompetent and
cannot sign a Patient Informed Consent form or comply with the study.
-
Patients who are pregnant or planned to
become pregnant during the study.
Study Procedure:
Patients are consented
at the MCVI office only on
an outpatient basis. Patients will be randomized to either
manufacturer’s ICD in a 1:1 ratio within dual and single chamber device
subgroups. All patients will be followed at 6 months, 12 months, and 6 month
intervals thereafter post-implant until study closure.
Approved Devices:
|
Manufacturer |
Name |
Dual/Single Chamber |
Model # |
|
q
Guidant
q
Medtronic |
q
Vitality 2
q
Vitality 2 EL
q
Maximo
q
Marquis
q
Intrinsic
q
Gem III AT
q
ENTRUST
q
Other:
_________ |
q
Single
q
Dual |
q
T165
q
T175
q
T167
q
T177
q
7278
q
7232
q
7274
q
7230
q
7287
q
7288
q
7276
q
D153
q
D154
q
Other: ______ |
Device Printouts
Please remember to submit
all of the appropriate device printouts to Integra CTS. The printouts required
include:
Implant/Pre-discharge Visit
-
Pre-discharge programming parameters printout
-
10 second baseline rhythm printout
-
Disk (Guidant devices only
Scheduled/Unscheduled Follow-up Visits
-
Beginning of visit programming parameters
printout
-
Beginning of visit disk (Guidant devices
only)
-
10 second baseline rhythm printout
-
Episode list and EGMs of all episodes that
receive treatment
-
End of visit programming parameters printout
-
End of visit disk (Guidant devices only) *for
Guidant devices you will be submitting a total of 2 disks
**Please refer to the RIGHT Study Guide (pages
21-23) for printing instructions.
Call Integra CTS at 877-657-4448 if
you have any questions.
Device Programming
|
Guidant Devices |
Medtronic – Single Chamber |
Medtronic – Dual Chamber |
|
-
Duration: 5.0 sec
-
Redetection Duration: 4.0 sec
- VF rate cutoff: 200 bpm
- VT-1 zone: Not Active
(only two zones should be selected)
- Sustained Rate Duration:
OFF
- Rhythm ID SVT inhibit:
ON
- Rhythm ID Detection
Enhancement Mode – DR for dual chamber devices
- Automated Intrinsic
Rhythm ID Update: ON
-
Fallback during update: ON
Electronic Storage Source
- Atrial Channel: ON (NA
for single chamber)
- Ventricular Channel: ON
- Shock Channel: OFF
|
-
Initial: 16
-
Redetect: 12
- VF rate cutoff: 300 ms
- VF Detection Enable: ON
- FVT Detection Enable:
OFF
- VT Detection Enable: ON
- High Rate Timeout: OFF
- Wavelet: ON
-
Auto Collection: On
Telemetered and Stored EGM:
-
EGM Source: Vtip to Vring
-
Store this channel: Yes
-
EGM Source: Can to HVB
- Store EGM during
charging: NO
- Store EGM before
tachycardia starts: Yes
|
-
Initial: 16
-
Redetect: 12
- VF rate cutoff: 300 ms
- VF Detection Enable: ON
- FVT Detection Enable:
OFF
- VT Detection Enable: ON
- High Rate Timeout: OFF
- PR Logic – ON (as
defined by at least one of the following set to ‘on’ AFib/A-Flutter, Sinus
Tach, Other 1:1 SVT
Telemetered and Stored EGM:
-
EGM Source: Atip to Aring
-
Store this channel: Yes
-
EGM Source: Vtip to Vring
- Store EGM during
charging: NO
- Store EGM before
tachycardia starts: Yes
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