Can a simple ultrasound predict the best pacemaker for heart failure?
NCT ID NCT06689111
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at 100 people with heart failure who need a special pacemaker. Doctors want to see if a heart ultrasound before the procedure can predict which pacing method—left bundle branch pacing or standard biventricular pacing—works better. The goal is to improve how well the heart pumps blood right after the device is implanted.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Left bundle branch pacing lead (device) and standard biventricular pacing device
- What this could lead to
- If successful, this could help doctors choose the best pacing method for each heart failure patient, potentially improving heart function more effectively.
- What could go wrong
- This is a small, non-randomized study, so results may not apply to all patients. The improvement measured is acute (short-term), and long-term benefits are not yet known.
This is an AI summary of the original study and may miss details. Read our disclaimer.
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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About 100 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2024
- Expected to finish
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Nov 2026
An estimate. End dates often move.
- 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 to 90 years
- 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: * \>18 years \< 90 years * Patients with a documented indication for resynchronization therapy \[symptomatic patients despite optimal medication, HFrEF (EF\<35%), LBBB QRS morphology\] * COMPLETE LBBB (LBBB defined as QRS\>130msec, wide "notched or slurred" R wave in leads I, aVL, V5, V6 and occasional RS pattern in V5, V6, absence of Q waves in leads I, V5 and V6 but in lead aVL narrow Q wave may be present in the absence of myocardial pathology, R peak time \>60ms in leads V5 and V6 but normal in leads V1, V2, V3 when small R's are discernible in precardial leads, ST and T usually opposite to QRS direction) * Patients with ntraventricular septum diameter \>8 mm * Written informed consent Exclusion Criteria: * Patients with RBBB or atypical LBBB QRS morphology * Patients eligible for an upgrade procedure (already carring a PM or ICD) * Patients with hypertrophic cardiomyopathy
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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University Hospital of Patras
RECRUITINGPátrai, Greece, 26504, Greece
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