MRI scans could help decide who needs a heart defibrillator
NCT ID NCT01918215
First seen Jun 27, 2026 · Last updated Jul 09, 2026 · Updated 2 times
Summary
This study tested whether using a heart MRI to find scar tissue can help decide which people with mild-to-moderate heart failure should get a defibrillator (ICD) to prevent sudden cardiac death. About 449 adults with a weakened heart pump (ejection fraction 36-50%) and scar tissue on MRI were randomly assigned to receive an ICD or a small heart monitor. The goal was to see if the ICD group had fewer dangerous heart rhythms or sudden death over three years.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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453 people
The number who actually took part.
- Started
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Jul 2015
- Finished
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May 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age equal or greater than 18 years * Patients with coronary artery disease (CAD) or dilated cardiomyopathy (DCM) of the idiopathic, chronic post myocarditis or familial type. * Left ventricular systolic impairment as defined by left ventricular ejection fraction 36-50% by any current standard technique (echocardiogram, multiple gated acquisition scan (MUGA), angiography or CMR taken in the last six months. If a LGE CMR has been taken within 2 months this scan can be used for inclusion * Able and willing to comply with all pre-, post- and follow-up testing, and requirements * On maximum tolerated doses of ACE inhibitors (or Angiotensin and Receptor Blockers if intolerant of ACE) and Beta Blockers Exclusion Criteria: 1. History of cardiac arrest or spontaneous or inducible sustained ventricular tachycardia or ventricular fibrillation unless within 48 hours of an acute MI 2. Cardiomyopathy related to sarcoidosis 3. Standard Cardiac Magnetic Resonance imaging contraindications (e.g. severe claustrophobia) 4. Currently implanted permanent pacemaker and/or pacemaker/ICD lead 5. Clinical indication for ICD or Pacemaker or cardiac resynchronisation therapy. 6. CMR LVEF ≤35% or\>50% 7. Severe renal insufficiency (eGFR\< 30mls/min/1.73m2) 8. Recent Myocardial Infarction (MI) (\<40 days) or cardiac revascularization (\<90 days) 9. New York Heart Association HF functional class IV at baseline 10. Conditions associated with life expectancy \<1 year 11. Pregnancy or in females of child-bearing potential, the non-use of accepted forms of contraception
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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
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Belfast Health and Social Care Trust
Belfast, BT12 6NT, United Kingdom
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Coburg Hospital
Coburg, 96450, Germany
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Flinders Medical Centre
Bedford Park, South Australia, 5042, Australia
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Glenfield General Hospital
Leicester, LE39QP, United Kingdom
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Golden Jubilee National Hospital
Clydebank, G814DY, United Kingdom
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John Hunter Hospital
New Lambton, New South Wales, 2305, Australia
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Lyell McEwin Hospital
Elizabeth Vale, South Australia, 5112, Australia
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Princess Alexandra Hospital
Brisbane, Queensland, 4102, Australia
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Royal Brisbane & Women's Hospital
Herston, Queensland, 4029, Australia
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Royal Hobart Hospital
Hobart, Tasmania, 7000, Australia
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Royal Perth Hospital
Perth, Western Australia, 6000, Australia
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Schwarzwald-Baar Klinikum
Villingen-Schwenningen, 78052, Germany
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Sir Charles Gairdner Hospital
Nedlands, Western Australia, 6009, Australia
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St Vincent's Hospital
Fitzroy, Victoria, 3065, Australia
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The Alfred
Melbourne, Victoria, 3004, Australia
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The Bristol Heart Institute
Bristol, BS2 8HW, United Kingdom
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University Hospital Wurzburg
Würzburg, 97080, Germany
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University Hospital of South Manchester NHS Foundation Trust
Manchester, M23 9LT, United Kingdom
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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