Improve Sudden Cardiac Arrest Study
Sudden Cardiac Arrest, Ventricular Arrythmia
About this trial
This is an interventional prevention trial for Sudden Cardiac Arrest focused on measuring Sudden Cardiac Arrest (SCA), Syncope, Non Sustained Ventricular Tachycardia (NSVT), Premature Ventricular Contractions (PVC), Left Ventricular Ejection Fraction (LVEF), Primary Prevention, Secondary Prevention, Antitachycardia pacing (ATP), shock, appropriate therapy
Eligibility Criteria
Inclusion Criteria:
- Subject has a Class I indication for implantation of an ICD according to the American College of Cardiology (ACC)/American Heart Association(AHA)/Heart Rhythm Society (HRS) or European Society of Cardiology (ESC) Guidelines
- Subject (or subject's legally authorized representative) is willing and able to sign and date the Patient Informed Consent Form.
Exclusion Criteria:
- Subject is ≤ 18 years of age
- Subject with any exclusion criteria as required by local law (e.g., age, pregnancy, breast feeding)
- Subject is enrolled in a concurrent study that has not been approved for concurrent enrollment by the Medtronic Clinical Trial Leader
- Subject has any contraindication for ICD/CRT-D
Sites / Locations
- Hospital Churruca
- Hospital Italiano de Buenos Aires
- Hospital Universitario Fundación Favaloro
- Instituto Cardiovascular de Buenos Aires (ICBA)
- Republican Scientific and Practical Center "Cardiology"
- Real e Benemérita Associação Portuguesa de Beneficência
- INCOR - Hospital das Clínicas da Faculdade de Medicina da USP
- INCOR - Hospital das Clínicas da Faculdade de Medicina da USP
- Anhui Provincial Hospital
- Xiamen Heart Center
- Wuhan Asia Heart Hospital
- The Third Xiangya Hospital of Central South University
- Nanjing First Hospital
- Wuxi Peoples Hospital
- The First Hospital of Jilin University
- First Hospital of Dalian Medical University
- The General Hospital of Shenyang Military Region
- Shanghai Changhai Hospital
- West China Hospital, Sichuan University
- The First Teaching Hospital of Xinjiang Medical University
- First People's Hospital of Yunnan Province
- The First Affiliated Hospital of Zhejiang University College of Medicine
- Hangzhou First People's Hospital
- The Second Affiliated Hospital of Wenzhou Medical University
- Fuwai Hospital Chinese Academy of Medical Sciences and Peking Union Medical College
- The Second Xiangya Hospital of Central South University
- The Second Affiliated Hospital of the Third Military Medical University
- Fujian Provincial Hospital
- Sun Yat-Sen Memorial Hospital Sun Yat-Sen University
- The First Affiliated Hospital of Sun Yat-Sen Medical University
- Guizhou Province People's Hospital
- The First Affiliated Hospital of Zhejiang University College of Medicine
- The Second Affiliated Hospital of Zhejiang University College of Medicine
- Zhejiang Greentown Cardiovascular Hospital
- The Second Affiliated Hospital of Harbin Medical University
- Jinhua Municipal Central Hospital
- Jiangsu Province People's Hospital
- Ruijin Hospital of Shanghai Jiaotong University School of Medicine
- Renji Hospital Shanghai Jiao Tong University School of Medicine
- Xinhua Hospital Shanghai Jiaotong University School of Medicine
- Zhongshan Hospital Fudan University
- Shenzhen Sun Yat-sen Cardiovascular Hospital
- The First Affiliated Hospital of Soochow University
- The First Affiliated Hospital Of Xi'an Jiaotong University
- Fundacion Cardioinfantil
- Wadi El-Neel Hospital
- Care Hospital
- Medanta- The Medicity
- Ruby Hall Clinic
- King George's Medical University
- BM Birla Heart Research Centre
- Care Institute of Medical Sciences (CIMS)
- Post Graduate Institute of Medical Education & Research
- Lisie Hospital
- B.M. Birla Heart Reserch Centre
- BM Birla Heart Research CentreB
- All India Institute of Medical Sciences
- Govind Ballabh Pant Hospital
- Krishna Institute of Medical Sciences (KIMS)
- Sejong Hospital
- Dong-A University Hospital
- Keimyung University Dongsan Medical Center
- Chonnam National University Hospital
- Seoul National University Bundang Hospital
- Asan Medical Center
- Korea University Anam Hospital
- Severance Hospital
- The Catholic University of Korea Seoul Saint Mary's Hospital
- Institut Jantung Negara - National Heart Institute
- Universiti Malaya Medical Centre
- Hospital Angeles Lomas
- Hospital Angeles Lomas
- Hospital Angeles Leon
- Hospital General de Puebla
- Russian Scientific Center of Surgery by B.V. Petrovkiy, RAMN
- Russian Scientific Center of Surgery by B.V. Petrovskiy, RAMN
- Novosibirsk Research Institute of Circulation Pathology
- Scientific Research Institute of Cardiology
- Tyumen Regional Clinical Hospital
- Tyumen Cardiology Center
- Tyumen Cardiology Center
- Tyumen Regional Clinical Hospital
- Changi General Hospital
- National Heart Centre Singapore
- Groote Schuur Hospital
- Kaohsiung Veterans General Hospital
- China Medical University Hospital
- Taichung Veterans General Hospital
- National Taiwan University Hospital Hsin Chu Branch
- National Taiwan University Hospital
- Taipei Veterans General Hospital
- Military Hospital
- Dubai Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Active Comparator
No Intervention
Active Comparator
No Intervention
Other
No Intervention
Group A: Secondary prevention patients- device implant
Group B: Secondary prevention patients - no device implant
Group C: 1.5 Prevention patients - device implant
Group D: 1.5 prevention patients - no device implant
Group E: Primary, non-1.5 patients - device implant
Group F: Primary, non-1.5 patients - no device
Patients who are guideline indicated for an ICD/CRT-D for secondary prevention of sudden cardiac arrest. These subjects receive an ICD/CRT-D implant.
Patients who are guideline indicated for an ICD/CRT-D for secondary prevention of sudden cardiac arrest. These subjects choose not to receive an ICD/CRT-D implant.
Patients who are guideline indicated for an ICD/CRT-D for primary prevention of sudden cardiac arrest fall into this group if they have one of the 4 additional risk factors (syncope/pre-syncope, non-sustained ventricular tachycardia (NSVT), frequent preventricular contractions (PVCs), or low left ventricular ejection fraction (low LVEF). These subjects receive an ICD/CRT-D implant.
Patients who are guideline indicated for an ICD/CRT-D for primary prevention of sudden cardiac arrest fall into this group if they have one of the 4 additional risk factors (syncope/pre-syncope, non-sustained ventricular tachycardia (NSVT), frequent preventricular contractions (PVCs), or low left ventricular ejection fraction (low LVEF). These subjects choose not to receive an ICD/CRT-D implant.
Patients who are guideline indicated for an ICD/CRT-D for primary prevention of sudden cardiac arrest fall into this group if they do NOT fall into the 1.5 prevention group. These patients do not have one of the 4 additional risk factors (syncope/pre-syncope, non-sustained ventricular tachycardia (NSVT), frequent preventricular contractions (PVCs), or low left ventricular ejection fraction (low LVEF) which would put them into the 1.5 prevention group. These subjects receive an ICD/CRT-D implant.
Patients who are guideline indicated for an ICD/CRT-D for primary prevention of sudden cardiac arrest fall into this group if they do NOT fall into the 1.5 prevention group. These patients do not have one of the 4 additional risk factors (syncope/pre-syncope, non-sustained ventricular tachycardia (NSVT), frequent preventricular contractions (PVCs), or low left ventricular ejection fraction (low LVEF) which would put them into the 1.5 prevention group. These subjects choose not to receive an ICD/CRT-D implant.