Cardiac Anodal Biphasic Pacing

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorBoston Medical Center

About this trial

The goal of this study is to test a new pacing method called anodal biphasic pacing (ABP) to determine if this pacing works as well-or better-than current pacing methods. This new method may improve how the heart works and reduce some of the problems caused by regular pacing.

Current implantable pacemakers use a monophasic cathodal waveform to stimulate the heart. Monophasic cathodal pacing (MCP) waveforms slow conduction, impair contractility, cause inflammation, increase risk of atrial fibrillation, heart failure, and mortality. Anodal biphasic pacing (ABP) is an alternative waveform that can stimulate the heart. ABP preconditions the heart and then initiates cardiac contraction. ABP may address the limitations of MCP.

Eligibility criteria

Qualifiers

Planned generator exchange of dual chamber cardiac implantable electronic device (CIED)

Functioning atrial lead

Planned de novo implant or generator exchange of CIED with cardiac resynchronization therapy

Functioning atrial lead

Disqualifiers

Permanent atrial fibrillation

Third degree AV block without stable escape rhythm

Ischemic heart disease or coronary disease > 40%

Unable to receive heparin

Trial design

Treatments tested in this trial

  • Cardiac Waveform Generator

Treatment groups

108 Participants
are divided into 3 treatment groups

Sponsors and collaborators

Boston Medical Center

Lead sponsor

Rocky Mountain Biphasic

Collaborator