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NCT04599439: DEVELOP-VT

CMR Based Prediction of Ventricular Tachycardia Events in Healed Myocardial Infarction (DEVELOP-VT)

Status unknown Last updated 31 August 2023
What this trial tests

trial testing Cardiac magnetic resonance imaging in Myocardial Infarction in 1,000 participants. Status unknown.

Timeline
1 August 2020
Primary endpoint
30 September 2024
30 September 2025

Quick facts

Lead sponsorCentro Medico Teknon
StatusStatus unknown
Study typeOBSERVATIONAL
Enrollment1,000
Start date1 August 2020
Primary completion30 September 2024
Estimated completion30 September 2025
Sites1 location across Spain

Drugs / interventions tested

Conditions studied

Sponsor

Centro Medico Teknon — full company profile →

Who can join

18 and older, any sex, with Myocardial Infarction or Myocardial Infarction Old. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Fibrotic tissue is known to be the substrate for the appearance of scar-related reentrant ventricular arrhythmias (VA) in chronic ischemic cardiomyopathy (ICM). Late gadolinium enhancement cardiac magnetic resonance (LGE-CMR) has proven to be a useful technique in the non-invasive characterization of the scarred tissue and the underlying arrhythmogenic substrate. Previous studies identified the presence of significant scarring (\> 5% of the left ventricular -LV- mass) is an independent predictor of adverse outcome (all-cause mortality or appropriate ICD discharge for ventricular tachycardia or fibrillation) in patients being considered for implantable cardioverter-defibrillator (ICD) placement. Parallelly, the presence of heterogeneous tissue channels, which correlate with voltage channels after endocardial voltage mapping of the scar, can be more frequently observed in patients suffering from sustained monomorphic ventricular tachycardias (SMVT) than in matched controls for age, sex, infarct location, and left ventricular ejection fraction (LVEF). However, the lack of solid evidence and randomized trials make LVEF still the main decision parameter when assessing suitability for ICD implantation in primary prevention of sudden cardiac death (SCD). In a recent, case-control study, we identified the border zone channel (BZC) mass as the only independent predictor for VT occurrence, after matching for age, sex, LVEF and total scar mass. This BZC mass can be automatically calculated using a commercially available, post-processing imaging platform named ADAS 3D LV (ADAS3D Medical, Barcelona, Spain), with FDA 510(k) Clearance and European Community Mark approval. Thus, CMR-derived BZC mass might be used as an automatically reproducible criterium to reclassify those patients with chronic ICM at highest risk for developing VA/SCD in a relatively short period of approx. 2 years. In the present cohort study, we sought to evaluate the usefulness of the BZC mass measurement to predict the occurrence of VT events in a prospective, multicenter, unselected series of consecutive chronic ischemic patients without previous arrhythmia evidence, irrespectively of their LVEF.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Other trials of Cardiac magnetic resonance imaging

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Other recruiting trials for Myocardial Infarction

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Data sources for this page

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