The purpose of this registry (NCT02876042) is to evaluate the effect of BAROSTIM THERAPY with the BAROSTIM NEO system in the commercial setting in subjects recently implanted under the CE-Marked indication for resistant hypertension that also have evidence of heart failure with preserved ejection fraction (HFpEF).
Summary: The CVRx BAROSTIM THERAPY in Heart Failure with Preserved Ejection Fraction (HFpEF) Registry will be performed with subjects who have been recently implanted with the BAROSTIM NEO System in accordance with CE-Mark approved criteria for resistant hypertension and have evidence of HFpEF per the registry enrollment criteria. Subjects must be enrolled within 30 days from implant but prior to therapy activation. Up to 70 subjects will be enrolled at up to 10 sites. Data should be obtained from standard of care measurements taken prior to implant, at enrollment/baseline, and at 3 and 6 months after the device was implanted, at which time each subject will be exited from the registry. Eligibility Criteria: The CE-Mark approved indications and contraindications for the BAROSTIM NEO system in the treatment of resistant hypertension include: * Indications * Systolic blood pressure greater than or equal to 140 mmHg, and * Resistance to maximally tolerated therapy with a diuretic and two other anti-hypertension medications * Contraindications * Bilateral carotid bifurcations located above the level of the mandible * Baroreflex failure or autonomic neuropathy * Uncontrolled, symptomatic cardiac bradyarrhythmias * Carotid atherosclerosis that is determined by ultrasound or angiographic evaluation to be greater than 50% * Ulcerative plaques in the carotid artery as determined by ultrasound or angiographic evaluation
Study Type
OBSERVATIONAL
Enrollment
11
Implantation of the BAROSTIM NEO™ System
Berlin Charité & Deutschen Herzzentrum Berlin
Berlin, Germany
Immanuel Klinikum Bernau Herzzentrum Brandenburg
Bernau, Germany
Universitätsklinikum Köln Herzzentrum
Cologne, Germany
Changes in Office Cuff Systolic Blood Pressure
Office cuff blood pressure measurement to be obtained from a time point prior to implant and as close to the implant procedure as possible (baseline), and at 3 and 6 months post-implant.
Time frame: Pre-implant baseline to 6 months post-implant
Change in New York Heart Association Functional Classification
New York Heart Association Classification, if available, should be obtained from a time point prior to implant and as close to the implant procedure as possible (baseline), and at 3 and 6 months post-implant.
Time frame: Pre-implant baseline to 6 months post-implant
Changes in Left Ventricular Mass Index
An echocardiogram obtained prior to implant, and as close to the implant procedure as possible, will be utilized for the baseline measurement. An additional echocardiogram will be obtained at 3 and 6 months post-implant.
Time frame: Pre-implant baseline to 6 months post-implant
Changes in LA volume index
An echocardiogram obtained prior to implant, and as close to the implant procedure as possible, will be utilized for the baseline measurement. An additional echocardiogram will be obtained at 3 and 6 months post-implant.
Time frame: Pre-implant baseline to 6 months post-implant
Changes in E/E' ratio
An echocardiogram obtained prior to implant, and as close to the implant procedure as possible, will be utilized for the baseline measurement. An additional echocardiogram will be obtained at 3 and 6 months post-implant.
Time frame: Pre-implant baseline to 6 months post-implant
Changes in NT-proBNP
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Lippe Klinikum
Detmold, Germany
Uniklinik Frankfurt
Frankfurt, Germany
Universitätsklinikum Gießen und Marburg
Giessen, Germany
Herzzentrum Göttingen
Göttingen, Germany
Asklepios Klinik Altona
Hamburg, Germany
Medizinische Hochschule Hannover
Hanover, Germany
Uniklinik Heidelberg
Heidelberg, Germany
...and 3 more locations
If available, measurement should be obtained from a time point prior to implant and as close to the implant procedure as possible (baseline), and at 3 and 6 months post-implant.
Time frame: Pre-implant baseline, 6 months post-implant
Evaluate health care utilization over follow-up, such as heart failure hospitalizations
Health care utilization information is collected throughout follow-up.
Time frame: Pre-implant baseline to 6 months post-implant