ClinicalTrials.gg
RecruitingNCT07276490PACE-CCQUpdated Mar 9, 2026

Central Haemodynamics and Pacing for AV Block

An interventional study of Right ventricular pacing and Conduction system pacing in Atrioventricular Block, Pacing Therapy and Right Ventricular Pacing, sponsored by University of Tartu. Recruiting at 2 sites in Estonia. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-03-09.

Sponsored by University of Tartu · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Nov 2025; still recruiting 11 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
124
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

A randomized, single-blind study comparing two pacing strategies in patients with atrioventricular block requiring permanent pacemaker implantation. This trial evaluates the impact of conduction system pacing (left bundle branch area pacing) versus standard right ventricular pacing on central hemodynamics, cardiac function, and patient quality of life over 12 months. The study will enroll 124 patients from two Estonian tertiary hospitals and measure central systolic arterial pressure as the primary outcome, with secondary assessments of arterial stiffness, echocardiographic parameters, electrical activation patterns, and quality of life scores.

02

Conditions studied

  • Atrioventricular Block
  • Pacing Therapy
  • Right Ventricular Pacing
  • Conduction System Pacing

Keywords

  • conduction system pacing
  • atrioventricular block
  • right ventricular pacing
03

In context

Atrioventricular Block

117 studies on the registry are indexed under Atrioventricular Block; 43 are open to participants now.

This study's planned enrollment of 124 is close to the median of 127 across 78 interventional studies indexed under Atrioventricular Block.

Browse Atrioventricular Block studies →

Lead sponsor

University of Tartu is the lead sponsor of 46 studies on the registry; 13 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
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

  • Age 18-80 years
  • Diagnosis of atrioventricular block
  • Expected survival >1 year

Exclusion criteria

Exclusion Criteria:

  • Reduced (EF \<45%)
  • Expected ventricular pacing burden \<20%
  • Inter-arm systolic blood pressure difference >15 mmHg
  • Percutaneous coronary intervention or coronary artery bypass surgery within the last 30 days
  • Secondary hypertension
  • Orthostatic hypotension
  • valvular heart disease
  • Congenital heart disease
  • Pulse wave analysis or pulse wave velocity measurement cannot be reliably performed
  • Pregnancy or breastfeeding
  • Withdrawal of consent by the subject
  • Loss of contact during the study
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
124 participants (estimated)

Study arms

  • Active comparator
    Right ventricular pacing

    Device: Right ventricular pacing

  • Experimental
    Conduction system pacing

    Device: Conduction system pacing

Interventions

  • DeviceRight ventricular pacing

    Pacemaker implantation with RV lead placement

  • DeviceConduction system pacing

    Pacemaker implantation with conduction system (LBBAP) lead placement

06

What researchers measure

Primary outcomes

  1. Central systolic blood pressure

    Time frame: One year post implantation of pacemaker

07

Study locations

2 of 2 sites recruiting
  • North Estonia Medical Centre
    Tallinn, Harju 13419, Estonia
    Recruiting
    • Silver Heinsar, MD, PhD · Contactsilver.heinsar@ut.ee · +372 5333 1997
    • Priit Kampus, MD, PhD · Sub investigator
    • Jüri Voitk, MD · Sub investigator
    • Martin Serg, MD, PhD · Sub investigator
    • Madli Haldre, MD · Sub investigator
    • Riina Voitk, RN · Sub investigator
    • Inga Krutii, RN · Sub investigator
    • Evelin Takkel, RN · Sub investigator
    • Silver Heinsar, MD, PhD · Principal investigator
  • Tartu University Hospital
    Tartu, Tartu 50406, Estonia
    Recruiting
    • Priit Pauklin, MD, PhD · ContactPriit.Pauklin@kliinikum.ee · 5284692
    • Priit Pauklin, MD, PhD · Principal investigator
    • Indrek Roose, MD · Sub investigator
    • Ulvi Eit, RN · Sub investigator
    • Kaire Karindi, RN · Sub investigator
    • Anette C Kõre, MD · Sub investigator
08

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 Mar 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07276490
Lead sponsor
University of Tartu
Collaborators
North Estonia Medical Centre, Tartu University Hospital
Responsible party
Silver Heinsar (Clinical researcher, University of Tartu) — Principal investigator
First posted
Dec 11, 2025
Start date
Nov 28, 2025
Primary completion
Jun 1, 2027 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Mar 9, 2026

Study contacts

Silver Heinsar, MD, PhD
Contact
silver.heinsar@ut.ee
+372 5333 1997

Oversight

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

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