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CompletedNCT04075253Updated Apr 26, 2023

Acute Effect of One Single Bout of High Intensity Exercise on the Tendency for Ventricular Arrhythmia

An interventional study of VO2 peak testing in Tachycardia, Ventricular and Defibrillators, Implantable, sponsored by St. Olavs Hospital. Completed at 1 site in Norway. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-04-26.

Sponsored by St. Olavs Hospital · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
55
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This study will evaluate the acute effect of one single bout of high intensity exercise on the tendency for ventricular arrhythmia.

Read the detailed description

This study is a substudy of a planned study involving participants with an implantable cardioverter defibrillator (ICD), who will be randomly assigned to either take part in a exercise program for 12 weeks or serve as control and live as usual (Clinical Trials Unique Protocol ID: 2018/1592). In that study all participants will complete an exercise treadmill test to determine maximum oxygen uptake (VO2 peak).

In this study we wish to examine the acute effect of one single bout of high intensity exercise (i.e the VO2 peak test) on the tendency for ventricular arrhythmia. The study will evaluate changes in ICD-parameters and the number of premature ventricular contractions the first 24 hours after VO2 peak testing compared to the average number of the 48 hours prior to the test.

The study will also examine if the acute effect after VO2 peak testing alters after completing 12 weeks of aerobic interval training or control respectively.

02

Conditions studied

  • Tachycardia, Ventricular
  • Defibrillators, Implantable

Keywords

  • Exercise Training
03

In context

Tachycardia, Ventricular

443 studies on the registry are indexed under Tachycardia, Ventricular; 120 are open to participants now.

This study's enrollment of 55 is below the median of 64 across 269 interventional studies indexed under Tachycardia, Ventricular.

Browse Tachycardia, Ventricular studies →

Lead sponsor

St. Olavs Hospital is the lead sponsor of 171 studies on the registry; 29 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients with ICD and dilated cardiomyopathy or coronary heart disease as cause for implantation
  • ICD implanted at St Olavs hospital, Trondheim

In case of difficulties with patient inclusion for the study, the criteria might be broadened to include patients with idiopathic ventricular arrhythmia as cause for implantation.

Exclusion criteria

Exclusion Criteria:

  • inability to accomplish the exercise program due to serious comorbidity or to participate in regular training within the next 3 months due to other reasons
  • signs of severe cardiac ischemia or persistent ventricular tachycardia during individualized treadmill O2 peak test, which after individual assessment is to be found at risk
  • comorbidity where endurance training at more than moderate intensity is discouraged
  • severe cardiac valve disease
  • planned surgery within the next 3 months
  • inability to give informed consent
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
55 participants (actual)

Study arms

  • Experimental
    VO2 peak test

    All participants enrolled in the planned study on physical activity and ventricular arrhythmias and on baseline will complete an exercise treadmill test to determine VO2 peak

    Behavioral: VO2 peak testing

Interventions

  • BehavioralVO2 peak testing

    Exercise on treadmill starts with \~4km/h at 0% inclination before inclination is increased to 4% and speed kept unchanged. Inclination will then be increased with two percent approximately after each minute until exhaustion.

    Also known as: Cardiopulmonary Exercise Testing (CPET)

06

What researchers measure

Primary outcomes

  1. Tendency for ventricular arrhythmia

    Measured by changes in the number of premature ventricular contractions the first 24 hours after VO2 peak testing compared to the average number of the 48 hours prior to the test. Registered on a 72 hours Holter monitoring

    Time frame: 24 hours

Secondary outcomes

  1. Changes in ICD-parameters during a single bout of high intensity exercise (VO2 peak test)

    Evaluated by changes in number of inappropriate shocks

    Time frame: 24 hours

  2. Changes in ICD-parameters during a single bout of high intensity exercise (VO2 peak test)

    Evaluated by changes in stimulation threshold

    Time frame: 24 hours

  3. Changes in ICD-parameters during a single bout of high intensity exercise (VO2 peak test)

    Evaluated by changes in lead impedance

    Time frame: 24 hours

  4. Changes in ICD-parameters during a single bout of high intensity exercise (VO2 peak test)

    Evaluated by changes in atrial and ventricular refractory period

    Time frame: 24 hours

  5. Changes in ICD-parameters during a single bout of high intensity exercise (VO2 peak test)

    Evaluated by changes in restitution time of the sinus node

    Time frame: 24 hours

  6. Changes in ICD-parameters during a single bout of high intensity exercise (VO2 peak test)

    Evaluated by changes in refractory period of the AV-node

    Time frame: 24 hours

  7. Changes in acute effect of one single bout of high intensity exercise on tendency for ventricular arrhythmia after either 3 months of interval exercise or control

    Measured by changes in the number of premature ventricular contractions the first 24 hours after VO2 peak testing compared to the average number of the 48 hours prior to the test. Registered on a 72 hours Holter monitoring

    Time frame: Baseline and after 12 weeks

07

Study locations

1 site
  • St Olavs Hospital
    Trondheim, Norway
08

References and documents

Individual participant data

Plan to share: Yes — Individual participant data for all primary and secondary outcome measures will be made available after deidentification and publication

Time frame: After publication

Access criteria: Not yet decided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Sep 2019 to primary completion in Sep 2022, 36 months.

Of 84 non-industry interventional studies with no phase under Tachycardia, Ventricular, half reached primary completion within 37 months of starting (the median), counting those still running; a quarter within 22 and three quarters within 68. This study's 36 months is close to that.

Counting every sponsor, half of 121 studies reached it within 36 months; a quarter within 20 and three quarters within 66.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 28, 2019
First posted
Aug 30, 2019
StartActual
Sep 2, 2019
Primary completionActual
Sep 2, 2022
CompletionActual
Sep 2, 2022
Last update
Apr 26, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 26, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04075253
Lead sponsor
St. Olavs Hospital
Responsible party
Sponsor
First posted
Aug 30, 2019
Start date
Sep 2, 2019
Primary completion
Sep 2, 2022
Completion
Sep 2, 2022
Last update
Apr 26, 2023

Study contacts

Rune Wiseth, MD, Prof
study director · St. Olavs Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2023. You cannot join it, but the record below documents what was studied.

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