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Cedex","97261","Martinique",{"facility":637,"status":50,"city":638,"state":26,"zip":639,"country":640,"countryCode":641,"cosmosGeoPoint":642,"geoPoint":646,"contacts":26},"Amsterdam UMC","Amsterdam","1105","Netherlands","NL",{"type":56,"coordinates":643},[644,645],4.88969,52.37403,{"lat":645,"lon":644},{"facility":648,"status":50,"city":649,"state":26,"zip":650,"country":640,"countryCode":641,"cosmosGeoPoint":651,"geoPoint":655,"contacts":26},"Stichting Catharina Ziekenhuis","Eindhoven","5623",{"type":56,"coordinates":652},[653,654],5.47778,51.44083,{"lat":654,"lon":653},{"facility":657,"status":50,"city":658,"state":26,"zip":659,"country":640,"countryCode":641,"cosmosGeoPoint":660,"geoPoint":664,"contacts":26},"Medisch Spectrum Twente","Enschede","7512 KZ",{"type":56,"coordinates":661},[662,663],6.89583,52.21833,{"lat":663,"lon":662},{"facility":666,"status":50,"city":667,"state":26,"zip":668,"country":640,"countryCode":641,"cosmosGeoPoint":669,"geoPoint":673,"contacts":26},"Universitair Medisch Center Groningen","Groningen","9700",{"type":56,"coordinates":670},[671,672],6.56667,53.21917,{"lat":672,"lon":671},{"facility":675,"status":50,"city":676,"state":26,"zip":677,"country":640,"countryCode":641,"cosmosGeoPoint":678,"geoPoint":682,"contacts":26},"Maastricht University Medical Center","Maastricht","6229",{"type":56,"coordinates":679},[680,681],5.68889,50.84833,{"lat":681,"lon":680},{"facility":684,"status":50,"city":685,"state":26,"zip":686,"country":687,"countryCode":688,"cosmosGeoPoint":689,"geoPoint":693,"contacts":26},"Kliniczny Szpital Wojewódzki Nr 2 im.Św.Jadwigi Królowej w Rzeszowie","Rzeszów","35-301","Poland","PL",{"type":56,"coordinates":690},[691,692],21.99901,50.04132,{"lat":692,"lon":691},{"facility":695,"status":50,"city":696,"state":26,"zip":697,"country":687,"countryCode":688,"cosmosGeoPoint":698,"geoPoint":702,"contacts":26},"Wojskowy Instytut Medyczny","Warsaw","04-141",{"type":56,"coordinates":699},[700,701],21.01178,52.22977,{"lat":701,"lon":700},{"facility":704,"status":50,"city":705,"state":26,"zip":706,"country":687,"countryCode":688,"cosmosGeoPoint":707,"geoPoint":711,"contacts":26},"Śląskie Centrum Chorób Serca w Zabrzu","Zabrze","41-800",{"type":56,"coordinates":708},[709,710],18.78576,50.32492,{"lat":710,"lon":709},{"facility":713,"status":50,"city":714,"state":26,"zip":715,"country":716,"countryCode":717,"cosmosGeoPoint":718,"geoPoint":722,"contacts":26},"Hospital General Universitario de Alicante","Alicante","03010","Spain","ES",{"type":56,"coordinates":719},[720,721],-0.48149,38.34517,{"lat":721,"lon":720},{"facility":724,"status":50,"city":725,"state":26,"zip":726,"country":716,"countryCode":717,"cosmosGeoPoint":727,"geoPoint":731,"contacts":26},"Instituto de Investigación Hospital 12 de Octubre","Madrid","28041",{"type":56,"coordinates":728},[729,730],-3.70256,40.4165,{"lat":730,"lon":729},{"facility":733,"status":50,"city":725,"state":26,"zip":734,"country":716,"countryCode":717,"cosmosGeoPoint":735,"geoPoint":737,"contacts":26},"La Paz University Hospital","28046",{"type":56,"coordinates":736},[729,730],{"lat":730,"lon":729},{"facility":739,"status":50,"city":740,"state":26,"zip":741,"country":716,"countryCode":717,"cosmosGeoPoint":742,"geoPoint":746,"contacts":26},"Hospital Universitario Virgen de la Arrixaca","Murcia","30120",{"type":56,"coordinates":743},[744,745],-1.13004,37.98704,{"lat":745,"lon":744},{"facility":748,"status":50,"city":749,"state":26,"zip":750,"country":751,"countryCode":752,"cosmosGeoPoint":753,"geoPoint":757,"contacts":26},"Calderdale Royal Hospital","Halifax","HX3 0PW","United Kingdom","UK",{"type":56,"coordinates":754},[755,756],-1.85,53.71667,{"lat":756,"lon":755},{"facility":759,"status":50,"city":760,"state":26,"zip":761,"country":751,"countryCode":752,"cosmosGeoPoint":762,"geoPoint":766,"contacts":26},"The Leeds Teaching Hospitals NHS Trust - St James's University Hospital","Leeds","LS9 7TF",{"type":56,"coordinates":763},[764,765],-1.54785,53.79648,{"lat":765,"lon":764},{"facility":768,"status":50,"city":769,"state":26,"zip":770,"country":751,"countryCode":752,"cosmosGeoPoint":771,"geoPoint":775,"contacts":26},"Queen Elizabeth The Queen Mother Hospital Margate","Margate","CT9 4AN",{"type":56,"coordinates":772},[773,774],1.38617,51.38132,{"lat":774,"lon":773},{"facility":777,"status":50,"city":778,"state":26,"zip":779,"country":751,"countryCode":752,"cosmosGeoPoint":780,"geoPoint":784,"contacts":26},"George Eliot Hospital","Nuneaton","CV10 7DJ",{"type":56,"coordinates":781},[782,783],-1.46523,52.52323,{"lat":783,"lon":782},{"facility":786,"status":50,"city":787,"state":26,"zip":788,"country":751,"countryCode":752,"cosmosGeoPoint":789,"geoPoint":793,"contacts":26},"Salisbury District Hospital","Salisbury","SP2 8BJ",{"type":56,"coordinates":790},[791,792],-1.79569,51.06931,{"lat":792,"lon":791},{"facility":795,"status":50,"city":796,"state":26,"zip":797,"country":751,"countryCode":752,"cosmosGeoPoint":798,"geoPoint":802,"contacts":26},"University Hospital of North Tees","Stockton-on-Tees","TS19 8PE",{"type":56,"coordinates":799},[800,801],-1.3187,54.56848,{"lat":801,"lon":800},{"type":36,"investigatorFullName":804,"investigatorTitle":805,"investigatorAffiliation":5,"oldNameTitle":26,"oldOrganization":26},"Daniela Fischer","Project Manager","100490398",false,"NCT05665608","Prevention Of Sudden Cardiac Death After Myocardial Infarction by Defibrillator Implantation","PROFID EHRA","Inclusion Criteria:\n\n1. Age ≥18 years.\n2. Naïve to implantation of any pacemaker or defibrillator\n3. Documented history of MI either as ST segment elevation myocardial infarction (STEMI) or as non-ST segment elevation myocardial infarction (NSTEMI) at least 3 months prior to enrolment.\n4. Symptomatic heart failure with New York Heart Association (NYHA) class II or III.\n5. On OMT for at least 3 months prior to enrolment.\n6. LVEF ≤ 35% (at transthoracic echocardiography or cardiac magnetic resonance imaging \\[MRI\\] at least 3 months after MI).\n7. Signed informed consent.\n\nInclusion criterion I3 defines myocardial infarction according to the 2018 ESC\u002FACC\u002FAHA\u002FWHF Fourth Universal Definition of myocardial infarction\n\nExclusion Criteria:\n\n1. Class I or IIa indication for implantation of an ICD for secondary prevention of SCD and ventricular tachycardia.\n2. Ventricular tachycardia induced in an electrophysiologic study.\n3. Unexplained syncope when ventricular arrhythmia is suspected as the cause of syncope.\n4. Class I or IIa indication for Cardiac Resynchronization Therapy (CRT)\n5. Foreseable violation of instruction for use (IFU) of the ICD device selected for implantation (valid for control group patients, only).\n6. Acute coronary syndrome or coronary angioplasty or coronary artery bypass grafting performed within 6 weeks prior to enrolment.\n7. Cardiac valve surgery or percutaneous cardiac valvular intervention performed within 6 weeks prior to enrolment.\n8. On the waiting list for heart transplantation.\n\n   Class I or IIa indication for implantation of an ICD for secondary prevention of SCD and ventricular tachy-cardia has to be assessed according to the 2022 ESC Guidelines for the management of patients with ven-tricular arrhythmias and the prevention of SCD.\n9. Any known disease that limits life expectancy to less than 1 year.\n10. Participation in another randomised clinical trial if study-specific treatment is still active at enrolment into PROFID EHRA.\n11. Previous participation in PROFID EHRA.\n\nParallel participation in sub-studies connected to this trial is permitted as well as in purely observational studies without any pre-defined intervention.","ALL","18 Years",{"count":815,"type":816},3595,"ESTIMATED","INTERVENTIONAL",[819],"NA","Patients who have survived a myocardial infarction (MI) are at increased risk for sudden cardiac death (SCD) caused by ventricular tachycardia and ventricular fibrillation. A severely reduced left ventricular ejection fraction (LVEF) as a rough overall measure of impaired heart function after MI was shown to indicate a higher risk for SCD. Based on this observation, two landmark randomised trials, MADIT II and SCD-HeFT, were conducted between end of the 1990s and early 2000s. These trials compared the survival of patients with severely reduced LVEF who received an implantable cardioverter-defibrillator with the survival of patients being on medical therapy alone. They reported a significantly better survival of patients in the defibrillator arm and led to international guideline recommendations for routine implantation of defibrillators in survivors of MI with severely impaired LVEF as a means for primary prevention of SCD. Since then, the management of these patients has changed dramatically with the advent of a series of novel drug classes that reduce not only mortality but specifically SCD leading to a substantial decrease of the sudden death rates as well as of the rates of appropriate defibrillator therapies implanted for primary prevention of SCD. At the same time, the complication rates associated with the defibrilllator therapy remain significant without obvious decrease. Thus, the risk-benefit of routine defibrillator implantation for primary prevention of SCD in patients with severely reduced LVEF has substantially changed since the conduction of the landmark trials that established this therapy. Due to the inherent risks and considerable costs of the defibrillator, a novel randomised adequately powered assessment of the potential benefit or harm of the defibrillator in survivors of MI with reduced LVEF under contemporary optimal medical treatment (OMT) appears imperative.\n\nOBJECTIVE:\n\nTo demonstrate that in post-MI patients with symptomatic heart failure who receive OMT for this condition, and with reduced LVEF ≤ 35%, OMT without ICD implantation (index group) is not inferior to OMT with ICD implantation (control group) with respect to all-cause mortality.",[822,823],"Sudden Cardiac Death","Myocardial Infarction",[825,822,823],"Implantable Cardioverter Defibrillator","2026-03-31",{"date":828,"type":829},"2026-04-01","ACTUAL",{"date":831,"type":829},"2023-11-16",{"date":833,"type":816},"2027-11-30",{"name":5,"class":6},86]