To compare the preventive effect of preventive ventricular arrhythmia ablation on the composite events 30 days after surgery in the study population. The composite events defined in this study 30 days after surgery include persistent ventricular tachycardia/ventricular fibrillation, all-cause death, mechanical thrombosis and right heart failure.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
90
for patients undergoing LVAD surgery while also undergoing prophylactic ablation of ventricular arrhythmias at the same time
5thBuilding, 9thFloor, High-tech Campus of the First Affiliated Hospital of Anhui Medical University
Hefei, Anhui, China
persistent ventricular tachycardia / ventricular fibrillation
Electrocardiogram monitoring was conducted daily for the patients 30 days after the surgery. Data were uploaded daily and the frequency of arrhythmia occurrences was statistically analyzed.
Time frame: Continuous electrocardiogram monitoring for 30 days after surgery
all-cause mortality
Conduct a 30-day follow-up visit for the patients, and collect the time and cause of death.
Time frame: Within 30 days after the operation
mechanical thrombus
Electrocardiogram monitoring was performed daily on the patients 30 days after the surgery. When thrombosis occurred, the left heart assist device would give an alarm to alert. In some cases, autopsy could be conducted to obtain the results.
Time frame: Within 30 days after the operation
right heart failure
Conduct a 30-day follow-up visit for the patients, and collect the time and cause of right heart failure.
Time frame: Within 30 days after the operation
all-cause mortality
Patients are followed up in the outpatient department or by phone every six months to collect death-related records such as death certificates and discharge summaries.
Time frame: semi-annually, for a total of three years
mechanical thrombus
The artificial heart device implanted in the patient will continuously monitor. When a thrombosis occurs, the left heart assist device will alert and remotely contact the medical team. In some cases, this information can be obtained through autopsy after death.
Time frame: semi-annually, for a total of three years
stroke
Patients are followed up in the outpatient department or by phone every six months, and the necessary medical history records, imaging reports (such as head CT or MRI), and other original materials are collected.
Time frame: semi-annually, for a total of three years
Hospitalization or emergency visit due to heart failure
Patients are followed up in the outpatient department or by phone every six months, and the necessary medical history records are collected, including symptoms such as shortness of breath and signs such as lower extremity edema, measurement of brain natriuretic peptide levels, and treatment with diuretics, etc.
Time frame: semi-annually, for a total of three years
heart transplantation
Patients are followed up in the outpatient department or by phone every six months, and the necessary medical history records are collected.
Time frame: semi-annually, for a total of three years
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