Right Apical Versus Septal Pacing Trial (RASP)
Heart Block, Heart Failure
About this trial
This is an interventional prevention trial for Heart Block focused on measuring Permanent Pacemaker Implantation- Lead Position
Eligibility Criteria
Inclusion Criteria: a)Fixed (third degree) AV block b) Atrial Fibrillation with average Ventricular rate on ECG </= 40bpm or mean heart rate on Holter monitor </= 60bpm c) Sinus node Dysfunction with PR interval >/= 300msec d) Paroxysmal, persistent or permanent AF undergoing AV node , AV node/HIS ablation e) 2°AV Block with ≥3:1 block the subject is 18 years of age or older the subject has provided written consent - Exclusion Criteria: Pre-existing permanent cardiac pacemaker or ICD (defibrillator) Presence of Hypertrophic Obstructive Cardiomyopathy Recent cardiac surgery (</= 30 days) Recent myocardial infarction (</= 30 days) Presence of mechanical prosthetic tricuspid valve Patient inability or unwillingness to comply with study protocol and required study visit schedule Concomitant research study whose protocol would conflict or affect the outcome of this study Patient not expected to survive for the duration of the study follow-up due to co-morbid medical condition
Sites / Locations
- London Health Sciences Centre
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Septal RV lead placement
Apical RV lead placement
patient randomized to Septal RV lead placement
patient randomized to Apical RV lead placement (current standard placement)