PET scans may outshine ejection fraction in predicting sudden cardiac death
NCT ID NCT03493516
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether a special PET scan can help doctors better predict sudden cardiac arrest in people with heart failure and blocked arteries. About 300 participants who already have a defibrillator will be followed to see if heart nerve damage, heart size, or blood markers improve risk prediction. The goal is to improve how we identify high-risk patients beyond the current standard of measuring heart pumping strength.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 302 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2018
- Expected to finish
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Dec 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.
Who is studied
The study population comprises adult patients of either sex with ischemic cardiomyopathy who have an ejection fraction ≤ 35% and New York Heart Association Class II or III CHF or an ejection fraction ≤ 30% and Class I CHF who are candidates to place an ICD for the primary prevention of SCA. Subjects already having a primary prevention ICD are eligible if they have not yet received an appropriate ICD shock for ventricular arrhythmias.
- 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: * Coronary artery disease (by cardiac catheterization or definite myocardial infarction) * ICD implantation for the primary prevention of SCA * Primary prevention patients with a Biventricular ICD * Eligible immediately when this is placed to prevent dysynchrony related to intermittent RV pacing and the native QRS duration is ≤ 130 msec in the absence of pacing. * Eligible 6 months after implantation when the native QRS duration prior to implant is \>130 msec or there is persistent RV pacing. * Optimal medical therapy for heart failure. Exclusion Criteria: * Plans for coronary revascularization (due to the independent impact on SCA) * Contraindication for PET (i.e. claustrophobia, pregnancy, physical limitation) * Tricyclic antidepressant use (inhibits norepinephrine and LMI1195 uptake) * Comorbidities limiting life expectancy \<2yr. * Age \<18 years or inability to provide informed consent * Primary prevention ICD/BiV recipients who have received an appropriate ICD shock prior to enrollment
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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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University at Buffalo Clinical and Translational Research Center
Buffalo, New York, 14214, United States
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Other studies related to the condition(s) this trial covers.
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