Does Lung Impedance Correlate With Changes in BNP in Stable and Acutely Decompensated Heart Failure Patients?



Status:Completed
Conditions:Cardiology
Therapuetic Areas:Cardiology / Vascular Diseases
Healthy:No
Age Range:18 - Any
Updated:4/2/2016
Start Date:September 2005
End Date:January 2009

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The purpose of this study is to determine whether there is a relationship between serial
B-natriuretic peptide (BNP) and implantable device measured intrathoracic impedance in
symptomatic and asymptomatic heart failure patients over a 1-year period. Furthermore, this
study will establish whether implantable device measured intrathoracic impedance trends with
the distance walked on a six-minute hall walk (6MHW), an exercise-based acute measure that
has also been associated with heart failure clinical status.

This is a prospective non-randomized longitudinal study. One hundred subjects will
participate in 6 monthly and 3 bi-monthly serial assessments of plasma-based BNP,
implantable device measured intrathoracic impedance, and clinical evaluation of heart
failure status. Each patient will be enrolled in the study for a period of 12 months.

Inclusion Criteria:

- Baseline BNP > 80 pg/ml

- Meets current guidelines for ICD implantation with or without CRT

- Receiving a Medtronic InSync Sentry, Concerto, Virtuoso, or subsequently approved
Medtronic ICD with the OptiVol feature.

- Walk < 450 meters during 6 minute hall walk test

Exclusion Criteria:

- Less than 18 years of age

- Life expectancy < 6 months

- History of non-compliance with clinic visits or study-related tasks which may
decrease chance of completing of the study

- Physical disability which limits exercise
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Roslyn, New York 11576
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