New heart mapping technique aims to stop Life-Threatening rhythms
NCT ID NCT06937983
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests a new method called decrement evoked potential (DeEP) mapping to guide catheter ablation for ventricular tachycardia (VT) in people with structural heart disease. VT is a fast, dangerous heart rhythm that can cause sudden cardiac arrest. The standard ablation procedure uses heat to destroy diseased heart tissue, but finding the exact trouble spots is often difficult. Researchers will enroll 77 adults with implantable defibrillators and use the DeEP mapping to target ablation more precisely. Patients will be followed for 12 months to see if this approach reduces VT episodes.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- catheter ablation procedure guided by decrement evoked potential mapping
- What this could lead to
- If successful, this could make VT ablation more effective at preventing dangerous heart rhythm episodes, reducing the need for shocks from implantable defibrillators.
- What could go wrong
- This is a small, early-stage study (77 participants) testing a refined technique. The new mapping method may not improve outcomes over standard approaches, and ablation carries risks like bleeding, infection, or heart damage.
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 77 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2025
- Expected to finish
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Dec 2027
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 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: * ≥18 years old * Patients with cardiac implantable electronic devices (CIED) (e.g. pacemakers, cardiac resynchronisation therapy (CRT) devices, implantable cardioverter defibrillator (ICD) devices) * Eligible for VT ablation as part of standard care (urgent or elective) * Ischaemic heart disease and prior myocardial infarction (MI) (using the international definition of MI: Q waves or imaging evidence of regional myocardial akinesis/thinning in the absence of a non-ischemic cause with documentation of prior ischaemic injury) OR other structural heart disease (such as: arrhythmogenic cardiomyopathy (ACM), or dilated cardiomyopathy (DCM), or hypertrophic cardiomyopathy (HCM), or sarcoidosis, or myocarditis). * Catheter ablation of VT ablation using Abbott intracardiac mapping catheter and Ensite intracardiac mapping system. Exclusion Criteria: * Lacks capacity to provide informed consent * New York Heart Association (NYHA) class IV heart failure * Life expectancy of less than 12 months * Implanted with a ventricular assist device * Presence of mobile intracardiac thrombus * Reversible cause of VT * Women who are pregnant or nursing * Both mechanical aortic and mitral valves * Enrolment in a concurrent interventional clinical study that in the judgement of the investigator would increase risk to the patient or deem the patient inappropriate to participate in this study.
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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 study's own enquiry address
This study publishes an address for enquiries. See it below .
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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
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Contacts and locations
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Study contacts
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Contact
Email: •••••@•••••
Locations
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University Hospitals Coventry & Warwickshire NHS Trust
RECRUITINGCoventry, West Midlands, CV2 2DX, United Kingdom
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