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CompletedNCT05600699Updated Nov 1, 2022

Long-term Efficacy and Safety Research of Left Bundle Branch Pacing

An observational study in Atrioventricular Block and Left Bundle Branch Pacing, sponsored by Linyi People's Hospital. Completed at 1 site in China. Open to participants aged 21 Years to 90 Years. Per ClinicalTrials.gov, last updated 2022-11-01.

Sponsored by Linyi People's Hospital · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
136
Ages
21 Years to 90 Years
Sex
All
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Study summary

Patients with successful left bundle branch pacing in our center were included in this study from April 2018 to December 2019. Baseline data was collected, and pacing parameters, ECG and echocardiographic results were analyzed during 3 years follow-up. According to whether or not a potential was recorded and the specific potential characteristics at implantation, the patients were divided into 3 groups: left bundle branch potential group; Purkinje potential group; and no-potential group. During the 3 years follow-up, the investigators collected the ECG、UCG and pacemaker parameters to analyze.

Read the detailed description

A total of 136 patients with a high percentage of ventricular pacing and successful left bundle branch pacing were included in this study from April 2018 to December 2019. Baseline data was collected, and pacing parameters, ECG and echocardiographic results were analyzed during 3 years follow-up. According to whether or not a potential was recorded and the specific potential characteristics at implantation, the patients were divided into 3 groups: left bundle branch potential group (L group) 31.6%; Purkinje potential group (P group) 10.3%; and no-potential group (N group) 58.1%. During the 3 years follow-up, the investigators collected the ECG、UCG and pacemaker parameters to analyze.

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Conditions studied

  • Atrioventricular Block
  • Left Bundle Branch Pacing
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In context

Atrioventricular Block

109 studies on the registry are indexed under Atrioventricular Block; 39 are open to participants now.

This study's enrollment of 136 is below the median of 300 across 31 observational studies indexed under Atrioventricular Block.

Browse Atrioventricular Block studies →

Lead sponsor

Linyi People's Hospital is the lead sponsor of 3 studies on the registry; none are open to participants now.

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

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Who can participate

Ages eligible
21 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

From April 2018 to Dec 2019, consecutive patients who were predicted to require a high percentage of ventricular pacing in our center were enrolled in this study. Main indications for the enrolment of patients are atrioventricular block and heart failure (HF) combined with complete left bundle branch block (LBBB). All patients were accorded with indications for pacing therapy of 2013 European Society of Cardiology guidelines on cardiac pacing. The study conforms to the guiding principles of the Declaration of Helsinki and was approved by Ethics Committee of the Linyi People's Hospital. All patients signed the informed consent.

Inclusion criteria

  • Patients who were predicted to require a high percentage of ventricular pacing in our center were enrolled in this study

Exclusion criteria

Exclusion Criteria:

  • Low rate of pacing, and loss to follow-up
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
136 participants (actual)
Target follow-up
3 Years
Patient registry
Yes

Groups and cohorts

  • left bundle branch potential group

    the left bundle branch potential was recorded at implantation

    Device: Cardiac pacemaker and Select Secure lead

  • Purkinje potential group

    the purkinje potential was recorded at implantation

    Device: Cardiac pacemaker and Select Secure lead

  • no-potential group

    no potential was recorded at implantation

    Device: Cardiac pacemaker and Select Secure lead

Interventions

  • DeviceCardiac pacemaker and Select Secure lead

    model 3830, 69cm, Medtronic, Inc., Minneapolis, MN, USA

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What researchers measure

Primary outcomes

  1. Change from Baseline in left atrium diameter at 3 years

    Echocardiography is measured by a professional using an ultrasound machine, record the following results: left atrium diameter (ms)

    Time frame: Baseline and 3 years

  2. Change from Baseline in left ventricular end diastolic diameter at 3 years

    Left ventricular end diastolic diameter (ms)

    Time frame: Baseline and 3 years

  3. Change from Baseline in left ventricular ejection fraction at 3 years

    Left ventricular ejection fraction (%)

    Time frame: Baseline and 3 years

  4. Change from Baseline in pulmonary artery systolic pressure at 3 years

    Pulmonary artery systolic pressure (mmHg)

    Time frame: Baseline and 3 years

Secondary outcomes

  1. Change from Baseline in threshold at 3 years

    Threshold was measured with a pace-sensing analyser: threshold (V) at 0.5ms

    Time frame: Baseline and 3 years

  2. Change from Baseline in impedance at 3 years

    Impedance was measured with a pace-sensing analyser: impedance(Ω)

    Time frame: Baseline and 3 years

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Study locations

1 site
  • Linyi People's Hospital
    Linyi, Shandong 276000, China
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References and documents

Publications

  • Huang W, Chen X, Su L, Wu S, Xia X, Vijayaraman P. A beginner's guide to permanent left bundle branch pacing. Heart Rhythm. 2019 Dec;16(12):1791-1796. doi: 10.1016/j.hrthm.2019.06.016. Epub 2019 Jun 22. No abstract available. PubMed 31233818 ↗
  • Huang W, Su L, Wu S, Xu L, Xiao F, Zhou X, Ellenbogen KA. A Novel Pacing Strategy With Low and Stable Output: Pacing the Left Bundle Branch Immediately Beyond the Conduction Block. Can J Cardiol. 2017 Dec;33(12):1736.e1-1736.e3. doi: 10.1016/j.cjca.2017.09.013. Epub 2017 Sep 22. PubMed 29173611 ↗
  • Su L, Wang S, Wu S, Xu L, Huang Z, Chen X, Zheng R, Jiang L, Ellenbogen KA, Whinnett ZI, Huang W. Long-Term Safety and Feasibility of Left Bundle Branch Pacing in a Large Single-Center Study. Circ Arrhythm Electrophysiol. 2021 Feb;14(2):e009261. doi: 10.1161/CIRCEP.120.009261. Epub 2021 Jan 9. PubMed 33426907 ↗
  • Hou X, Qian Z, Wang Y, Qiu Y, Chen X, Jiang H, Jiang Z, Wu H, Zhao Z, Zhou W, Zou J. Feasibility and cardiac synchrony of permanent left bundle branch pacing through the interventricular septum. Europace. 2019 Nov 1;21(11):1694-1702. doi: 10.1093/europace/euz188. PubMed 31322651 ↗
  • Ponnusamy SS, Muthu G, Kumar M, Bopanna D, Anand V, Kumar S. Mid-term feasibility, safety and outcomes of left bundle branch pacing-single center experience. J Interv Card Electrophysiol. 2021 Mar;60(2):337-346. doi: 10.1007/s10840-020-00807-w. Epub 2020 Jul 4. PubMed 32623624 ↗

Individual participant data

Plan to share: Undecided — all collected IPD would be shared after publishing

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 1, 2022, 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
NCT05600699
Lead sponsor
Linyi People's Hospital
Responsible party
Xinhua Li (Deputy director of Cardiology, Linyi People's Hospital) — Principal investigator
First posted
Oct 31, 2022
Start date
Apr 1, 2018
Primary completion
Dec 31, 2019
Completion
Oct 1, 2022
Last update
Nov 1, 2022

Study contacts

Fingming Li
study chair · Linyi People's Hospital

Oversight

FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2022. You cannot join it, but the record below documents what was studied.

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