Prospective Study of Lead-associated Tricuspid Regurgitation in Patients Undergoing New Transvalvular Lead Insertion
Recruiting
Observational Study
Tricuspid Valve RegurgitationPacemakerICDLeft Bundle Branch Area Pacing
No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
No Study Drug
Researchers observe your health over time — no experimental treatment is given.
Ready to participate?
Review the details below, then apply to join this clinical trial.
At a Glance
Age
18 and older
Sex
Any
Study type
Observational
Participants needed
200 (estimated)
Sponsor
Hazem Omran · Other
Who this trial is looking for
This trial is looking for patients who need a pacemaker or defibrillator. Participants will undergo heart scans before and after the procedure and attend follow-up visits at 6 and 12 months.
Are You a Good Fit for This Trial?
You may be able to join if
I need a pacemaker or defibrillator
I have not been diagnosed with severe tricuspid regurgitation
I do not have any existing heart devices
I do not have other severe heart valve disease
I have not been diagnosed with pre-capillary pulmonary hypertension
I do not have structural disease of the right ventricle
You may not be able to join if
I cannot give consent
I am under 18 years old
I have relevant pulmonary hypertension
I have severe tricuspid regurgitation
I have had lead-explantation
I have existing valvular heart disease needing treatment
I have had tricuspid valve surgery
I have congenital heart disease
Summarized in plain language from this trial's official eligibility criteria.
The full criteria are further down this page — only the research team can
confirm whether you qualify.
Think this trial could be right for you?
Answer a few quick questions to see if you may meet the eligibility requirements.
The goal of this clinical trial is to record the incidence of newly developed or worsening tricuspid valve regurgitation (TR) following the implantation of a pacemaker or defibrillator with a transvenous lead. To collect this data, a transthoracic echocardiogram (TTE) with 3D imaging of the tricuspid valve (TV) will be performed before and after pacemaker implantation, with particular emphasis on …
The goal of this clinical trial is to record the incidence of newly developed or worsening tricuspid valve regurgitation (TR) following the implantation of a pacemaker or defibrillator with a transvenous lead. To collect this data, a transthoracic echocardiogram (TTE) with 3D imaging of the tricuspid valve (TV) will be performed before and after pacemaker implantation, with particular emphasis on assessing the tricuspid valve. Additionally, routine follow-up visits will be conducted at 6 and 12 months post-intervention, during which a TTE, ECG, NT-proBNP measurement, and pacemaker check will be performed.
Trial Locations
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Eligibility Criteria
Inclusion Criteria:
* medically indicated for pacemaker, ICD- or CRT implantation
* No previous diagnosis of severe tricuspid regurgitation on enrollment
* No existing transvalvular device (must be first implantation)
* No other diagnosed severe valvular heart disease
* Not previous diagnosis with …
Inclusion Criteria:
* medically indicated for pacemaker, ICD- or CRT implantation
* No previous diagnosis of severe tricuspid regurgitation on enrollment
* No existing transvalvular device (must be first implantation)
* No other diagnosed severe valvular heart disease
* Not previous diagnosis with pre-capillary pulmonary hypertension
* No previous diagnosis of structural disease of the right ventricle (i.e. ACM, cardiac sarcoidosis, carcinoid...)
Exclusion Criteria:
* Patients unable to give consent
* Under the age of 18 years
* Relevant pre-capillary pulmonary hypertension according to decision of the heart-team (sPAP echo \>70 mmHg)
* Severe tricuspid valve regurgitation (Grade 3 or worse) on enrollment
* Patients who have undergone Lead-explantation
* Exisiting valvular heart disease requiring treatment according to the decision of the heart-team. These patients may be enrolled in the study following treatment.
* Previous tricuspid valve surgery
* Patients with congenital heart disease (i.e. tetralogy of fallot, Ebstein's anomaly,...)
* Pregnant or breastfeeding women
* Life expectancy \< 12 months
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