Could direct heart pacing beat standard therapy for heart failure?

NCT ID NCT07492979

First seen Jun 24, 2026 · Last updated Jul 29, 2026 · Updated 4 times

Summary

This study compares a newer pacing method (HIS or left bundle branch pacing) to the standard biventricular pacing in 1100 heart failure patients across Nordic countries. The goal is to see if the new approach reduces death or unplanned heart failure hospitalizations. Participants must have severe heart failure and a specific heart block pattern.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
Conduction system pacing (HIS bundle or left bundle branch pacing) procedure
What this could lead to
If successful, this could offer a more effective pacing method for heart failure patients, potentially reducing deaths and hospital stays.
What could go wrong
This is a large trial but has not yet started recruiting. The new pacing technique may not prove superior and carries procedural risks like bleeding or lead complications.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Dept of Cardiology, Meilahti Hospital, Helsinki

    NOT_YET_RECRUITING

    Helsinki, 00290, Finland

  • Dept. of Cardiology, Aarhus University Hospital, Aarhus

    NOT_YET_RECRUITING

    Aarhus, 8200, Denmark

  • Haukeland Universitetssykehus

    NOT_YET_RECRUITING

    Bergen, 5009, Norway

  • Rigshospitalet, Copenhagen University Hospital

    RECRUITING

    Copenhagen, 2100, Denmark

  • Sahlgrenska University Hospital

    NOT_YET_RECRUITING

    Gothenburg, Sweden

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