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CompletedNCT04111354EMAPIUpdated Oct 15, 2024

Early Mobilization After Pacemaker Implantation.

An interventional study of Pacemaker implantation in Pacemaker Complication and Mobilization, sponsored by Charles University, Czech Republic. Completed at 1 site in Czechia. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-10-15.

Sponsored by Charles University, Czech Republic · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 5 months after the study started (first participant enrolled Mar 2019, registered Sep 2019).
Phase
Not applicable
Study type
Interventional
Enrollment
200
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Permanent pacemaker implantation is one of the most common arrhythmological procedure. This procedure is usually accompanied by a minimum of 2-3 days hospitalization, with immobilization of patients (supine) for 16-24 hours. The optimal duration of patient´s immobilization is not determined. There is also no recommendation from individual manufacturers of pacemakers for the duration of immobilization after pacemaker implantation. The length of immobilization is based rather on the tradition established at the time of using electrodes with passive fixation. The aim of our prospective, randomized study (EMAPI) is to compare the safety of short-term (4-hours) immobilization with long-term (16-24 hours) immobilization after primary pacemaker implantation. Septal position will be used for right ventricular electrode.

02

Conditions studied

  • Pacemaker Complication
  • Mobilization

Keywords

  • pacemaker
  • implantation
  • mobilization
  • complication
03

In context

Lead sponsor

Charles University, Czech Republic is the lead sponsor of 227 studies on the registry; 75 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

  1. 18 years and older.
  2. Indication for permanent pacemaker implantation.
  3. Mobile and compliant patient.
  4. Willing and able to give written informed consent.

Exclusion criteria

Exclusion Criteria:

  1. Imobile and noncompliant patient.
  2. Indication of CRT implantation.
  3. Upgrade or revision of implanted devise.
  4. Contraindications to pacemaker implantation.
  5. Gravidity.
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
200 participants (actual)

Study arms

  • Active comparator
    Short-term (4-hours) immobilization.

    Short-term (4-hours) immobilization after primary pacemaker implantation.

    Device: Pacemaker implantation

  • Active comparator
    Long-term (16-24 hours) immobilization.

    Long-term (16-24 hours) immobilization after primary pacemaker implantation.

    Device: Pacemaker implantation

Interventions

  • DevicePacemaker implantation

    Pacemaker implantation

06

What researchers measure

Primary outcomes

  1. Composite endpoint of incidence of adverse events from secondary outcomes depending on the length of immobilization (early vs. late).

    Comparsion of incidence of dislodgement of atrial electrode, dislodgement of ventricular electrode in septal position, hematoma surgically treated or requiring blood transfusions, pneumothorax, pocket infection, others complications

    Time frame: 6 months

Secondary outcomes

  1. Incidence of atrial lead dislodgement.

    comparsion of early vs. late mobilization

    Time frame: 6 months

  2. Incidence of ventricular lead dislodgement.

    comparsion of early vs. late mobilization

    Time frame: 6 months

  3. Incidence of hematoma (surgically treated or requiring blood transfusions.)

    comparsion of early vs. late mobilization

    Time frame: 6 months

  4. Incidence of pneumothorax.

    comparsion of early vs. late mobilization

    Time frame: 24 hours

  5. Incidence of pocket infection.

    comparsion of early vs. late mobilization

    Time frame: 6 months

  6. Incidence of others complications.

    comparsion of early vs. late mobilization, (mechanical, extracardiac complication etc.)

    Time frame: 6 months

07

Study locations

1 site
  • Jiri Smid, Cardiology department, University Hospital and Faculty of Medicine in Pilsen, Charles University, Czech Republic
    Pilsen, 32300, Czechia
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 15, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04111354
Responsible party
Jiri Smid (M.D., Charles University, Czech Republic) — Principal investigator
First posted
Oct 1, 2019
Start date
Mar 28, 2019
Primary completion
Aug 31, 2024
Completion
Aug 31, 2024
Last update
Oct 15, 2024

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 Oct 2024. You cannot join it, but the record below documents what was studied.

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