Optimizing Diagnostics Of Syncope Events Using Intelligent Telemetric Solutions. (TELEMARC3)
Primary Purpose
Cardiac Arrhythmia, Cardiogenic Syncope
Status
Unknown status
Phase
Not Applicable
Locations
Poland
Study Type
Interventional
Intervention
repeated 24 hours ECG Holter monitoring
Telemetric ECG monitoring
Sponsored by
About this trial
This is an interventional diagnostic trial for Cardiac Arrhythmia focused on measuring Cardiac arrhythmia, Cardiogenic syncope, Pediatrics, Children
Eligibility Criteria
Inclusion Criteria:
- History of syncope
- Ability to operate the telemetric device at home
- Exclusion of underlying neurological disease
- informed consent undersigned by the parents
- informed consent undersigned by the child if over 16 years of age
Exclusion Criteria:
- Syncope with known underlying disease
- Inability to operate the telemetric device at home
- Complete Heart block
- QT>500ms
- Implantation of ICD
- Inability to comply with the study protocol
Sites / Locations
- Medical University of Warsaw Department of Pediatric Cardiology and General PediatricsRecruiting
- The Children's Memmorial Health InstituteRecruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
Telemetric ECG monitoring
24 hours standard Holter monitoring
Arm Description
Telemetric Full Disclosure ECG monitoring
Outcomes
Primary Outcome Measures
Recording of symptomatic or life threatening arrhythmia event
ECG monitoring is conducted until occurrence of symptomatic arrhythmia or life threatening arrhythmia but not longer than 30 days. Patients in the control group will have standard ECG Holter monitoring repeated twice
Secondary Outcome Measures
Occurrence of silent (asymptomatic) arrhythmia event
1. Verification of patient self assessment based on the Quality of Life questionnaire and EHRA scale against evidence of cardiac arrhythmia occurrence
Full Information
NCT ID
NCT01265290
First Posted
December 22, 2010
Last Updated
December 2, 2011
Sponsor
National Institute of Cardiology, Warsaw, Poland
1. Study Identification
Unique Protocol Identification Number
NCT01265290
Brief Title
Optimizing Diagnostics Of Syncope Events Using Intelligent Telemetric Solutions.
Acronym
TELEMARC3
Official Title
Optimizing Diagnostics And Therapy Of Arrhythmia And Syncope Events Using Intelligent Telemetric Solutions. Diagnostics Of Syncope In Children.
Study Type
Interventional
2. Study Status
Record Verification Date
December 2011
Overall Recruitment Status
Unknown status
Study Start Date
February 2011 (undefined)
Primary Completion Date
December 2012 (Anticipated)
Study Completion Date
January 2013 (Anticipated)
3. Sponsor/Collaborators
Name of the Sponsor
National Institute of Cardiology, Warsaw, Poland
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to assess efficacy of prolonged Full Disclosure electrocardiogram (ECG) monitoring and signal analysis using advanced telemetric technology to diagnose syncope in comparison with standard diagnostic procedure
Detailed Description
Syncope can be caused by many conditions, often benign but in some cases syncope can be a symptom of severe arrhythmia. Early diagnosis of the underlying disease is very important to identify patients with severe cardiac arrhythmia to commence adequate treatment. Standard diagnostic methods such as 24 hours Holter electrocardiogram (ECG) monitoring or Event Holter do not guarantee early diagnosis of the arrhythmia. Prolonged heart rhythm recording and analysis using an automatic full disclosure telemetric device can increase probability of arrhythmia diagnosis and early administration of adequate treatment. Study patients will be diagnosed using standard Holter ECG monitoring, Event Holter or 30 days telemetric ECG monitoring. Efficacy of telemetric monitoring in diagnosis of cardiac arrhythmia will be assessed in comparison with the standard Holter monitoring and Event Holter.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cardiac Arrhythmia, Cardiogenic Syncope
Keywords
Cardiac arrhythmia, Cardiogenic syncope, Pediatrics, Children
7. Study Design
Primary Purpose
Diagnostic
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
640 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Telemetric ECG monitoring
Arm Type
Experimental
Arm Description
Telemetric Full Disclosure ECG monitoring
Arm Title
24 hours standard Holter monitoring
Arm Type
Experimental
Intervention Type
Device
Intervention Name(s)
repeated 24 hours ECG Holter monitoring
Intervention Description
repeated 24 hours ECG Holter monitoring
Intervention Type
Device
Intervention Name(s)
Telemetric ECG monitoring
Intervention Description
Telemetric ECG full disclosure monitoring with GSM technology
Primary Outcome Measure Information:
Title
Recording of symptomatic or life threatening arrhythmia event
Description
ECG monitoring is conducted until occurrence of symptomatic arrhythmia or life threatening arrhythmia but not longer than 30 days. Patients in the control group will have standard ECG Holter monitoring repeated twice
Time Frame
within 30 days since the start of monitoring
Secondary Outcome Measure Information:
Title
Occurrence of silent (asymptomatic) arrhythmia event
Time Frame
within 30 days since the start of monitoring
Title
1. Verification of patient self assessment based on the Quality of Life questionnaire and EHRA scale against evidence of cardiac arrhythmia occurrence
Time Frame
within 30 days since the start of monitoring
10. Eligibility
Sex
All
Maximum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
History of syncope
Ability to operate the telemetric device at home
Exclusion of underlying neurological disease
informed consent undersigned by the parents
informed consent undersigned by the child if over 16 years of age
Exclusion Criteria:
Syncope with known underlying disease
Inability to operate the telemetric device at home
Complete Heart block
QT>500ms
Implantation of ICD
Inability to comply with the study protocol
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Katarzyna Bieganowska, Prof. MD PhD
Email
kbieganowska@wp.pl
First Name & Middle Initial & Last Name or Official Title & Degree
Maria Miszczak-Knecht, MD, PhD
Email
mmknecht@neostrada.pl
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lukasz Szumowski, Prof. MD PhD
Organizational Affiliation
National Institute of Cardiology, Warsaw, Poland
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Katarzyna Bieganowska, Prof. MD PhD
Organizational Affiliation
Children's Memorial Health Institute
Official's Role
Principal Investigator
Facility Information:
Facility Name
Medical University of Warsaw Department of Pediatric Cardiology and General Pediatrics
City
Warsaw
ZIP/Postal Code
00-576
Country
Poland
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Bożena Werner, MD PhD
Phone
(+48 22) 629 83 17
Email
kardiologia@litewska.edu.pl
First Name & Middle Initial & Last Name & Degree
Bożena Werner, MD PhD
First Name & Middle Initial & Last Name & Degree
Tomasz Florianczyk, MD
Facility Name
The Children's Memmorial Health Institute
City
Warsaw
ZIP/Postal Code
04-730
Country
Poland
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Katarzyna Bieganowska, MD PhD
Email
kbieganowska@wp.pl
First Name & Middle Initial & Last Name & Degree
Maria Miszczak-Knecht, MD PhD
Email
mmknecht@neostrada.pl
First Name & Middle Initial & Last Name & Degree
Katarzyna Bieganowska, Prof.
First Name & Middle Initial & Last Name & Degree
Maria Miszczak-Knecht, MD, PhD
12. IPD Sharing Statement
Learn more about this trial
Optimizing Diagnostics Of Syncope Events Using Intelligent Telemetric Solutions.
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