Can loosening arm rules after heart device surgery improve recovery?
NCT ID NCT04915261
First seen Jun 27, 2026 · Last updated Jul 08, 2026 · Updated 2 times
Summary
This study compares lenient versus strict arm restrictions for 6,300 patients who receive a heart device like a pacemaker. The goal is to see if fewer restrictions reduce complications such as lead dislodgement, frozen shoulder, blood clots, and hematomas, while also improving patient comfort. Patients will be randomly assigned to one of two instruction sets, which will change every 8 months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- arm restriction instructions (lenient vs strict)
- What this could lead to
- If lenient restrictions work as well or better, patients could have less pain, anxiety, and faster recovery after heart device surgery.
- What could go wrong
- This is a behavioral study, not a drug trial, so the impact is limited to post-surgery care. Results may not apply to all hospitals or patient groups.
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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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 6,300 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2021
- Expected to finish
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Aug 2030
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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Children (under 18), adults (18 to 64) and older adults (65 and over)
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * all patients undergoing device surgery which includes implantation of at least one new endovascular lead Exclusion Criteria: * Standalone CIED generator replacement * Subcutaneous implantable cardioverter defibrillators * Leadless endocardial pacemakers * Temporary permanent pacemakers
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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 of Ottawa Heart Institute
RECRUITINGOttawa, Ontario, K1Y 4W7, Canada
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