| Unique ID issued by UMIN | UMIN000057500 |
|---|---|
| Receipt number | R000064976 |
| Scientific Title | Efficacy of Cardiac Resynchronization Therapy in Patients with Non-Left Bundle Branch Block type ECG: Multicenter Registry |
| Date of disclosure of the study information | 2025/04/08 |
| Last modified on | 2026/04/05 15:26:14 |
Efficacy of Cardiac Resynchronization Therapy in Patients with Non-Left Bundle Branch Block type ECG: Multicenter Registry
non-LBBB CRT Study
Efficacy of Cardiac Resynchronization Therapy in Patients with Non-Left Bundle Branch Block type ECG: Multicenter Registry
non-LBBB CRT Study
| Japan |
Heart failure patients with non-left bundle branch block type ECG who meet the class IIa/IIb recommendation for cardiac resynchronization therapy (CRT) according to the Japanese guideline on non-pharmacological therapy of cardiac arrhythmias
| Cardiology |
Others
NO
In the Japanese guidelines, the indication for cardiac resynchronization therapy (CRT) in heart failure patients with reduced left ventricular ejection fraction (EF <=35%, HFrEF) and non-left bundle branch block (non-LBBB) ECG is classified as Class IIa for a QRS duration >=150 msec and Class IIb for a QRS duration between 120 msec and 149 msec. However, clinical evidence on CRT in this population are largely limited. This study aims to evaluate the efficacy of CRT in Japanese HFrEF patients with non-LBBB ECG.
Efficacy
The criteria for CRT responders (LVEF, LVESV, Clinical Composite Score)
Observational
| 20 | years-old | <= |
| Not applicable |
Male and Female
1. Patient's age should be 20 y/o or more at the time of consent acquisition.
2. Therapeutic indication of cardiac resynchronization therapy should be based on the Japanese guideline (2018 JCS/JHRS non-pharmacological guideline).
3. QRS morphology should not meet the Strauss's criteria for left bundle branch block (LBBB).
Strauss's Criteria for LBBB:
1. Intrinsic QRS duration >140 ms (men) or >130 ms (women).
2. QS or rS pattern in leads V1 and V2.
3. Notching or slurring in the mid-QRS complex in at least two of the following leads: V1, V2, V5, V6, I, and aVL.
1. Patients who meet Class III indication of CRT in the Japanese guideline.
2. Patients with frequent recurrent ventricular tachycardia (VT) or ventricular fibrillation (VF) that cannot be controlled with antiarrhythmic drugs or catheter ablation.
3. Patients with severe drug-refractory congestive heart failure classified as NYHA functional class IV who are not candidates for heart transplantation, cardiac resynchronization therapy (CRT), or left ventricular assist device.
4. Patients who have refused the rPatients who have refused the registration to this study.
5. Patients who are made ineligible for this study by physicians.
6. Patients who have LBBB type ECG based on the Strauss's criteria.
100
| 1st name | Masahide |
| Middle name | |
| Last name | Harada |
Fujita Health University
Department of Cardiology
4701192
1-98 Dengakugakugo Kutsukakcho Toyoake Aichi Japan
0562932312
mharada@fujita-hu.ac.jp
| 1st name | Masahide |
| Middle name | |
| Last name | Harada |
Fujita Health University
Department of Cardiology
4701192
1-98 Dengakugakugo Kutsukakcho Toyoake Aichi Japan
0562932312
mharada@fujita-hu.ac.jp
Fujita Health University
Fujita Health University
Other
Fujita Health University Certified Review Board
1-98 Dengakugakugo Kutsukakcho Toyoake Aichi Japan
0562932865
crb-f@fujita-hu.ac.jp
NO
| 2025 | Year | 04 | Month | 08 | Day |
Unpublished
100
No longer recruiting
| 2024 | Year | 10 | Month | 21 | Day |
| 2024 | Year | 10 | Month | 21 | Day |
| 2025 | Year | 04 | Month | 07 | Day |
| 2025 | Year | 12 | Month | 31 | Day |
All patients who underwent CRT as of 29/March/2019 (after publication of the JCS/JHRS non-pharmacological guidelines) and completed the clinical follow-up before 31/Dec/2025 will be retrospectively enrolled.
| 2025 | Year | 04 | Month | 03 | Day |
| 2026 | Year | 04 | Month | 05 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000064976