About this trial

The investigators aim to prospectively evaluate the efficacy and mechanism of benefit of His-bundle pacing enhanced cardiac resynchronization therapy (His-CRT) vs. cardiac resynchronization therapy (BIV-CRT) in patients with heart failure and right bundle branch block (RBBB).

Eligibility criteria

Qualifiers

Age 18 years or older (no upper age limit)

Optimal medical therapy for heart failure by current guidelines

New York Heart Association (NYHA) class II HF symptoms, LVEF ≤ 30% and QRS≥ 150 ms (IIb); OR

NYHA class III-IV a HF, LVEF ≤ 35%, and QRS duration ≥ 150 ms (IIa); OR

Disqualifiers

Unable to obtain most recent imaging data from echocardiogram within 1 year prior to date of randomization

Left bundle branch block (LBBB) or intraventricular conduction delay (IVCD) ECG morphology

Unable or unwilling to follow study protocol

Less than 12 months life expectancy at consent

Trial design

Treatments tested in this trial

  • His-CRT implantation
  • BIV-CRT implantation

Treatment groups

120 Participants
are divided into 2 treatment groups

Locations

14
Arizona
University of Arizona85006, Phoenix United States
California
Cedars-Sinai Medical Center90048, Los Angeles United States
Florida
University of South Florida33606, Tampa United States
Illinois
Northwestern Memorial Hospital60611, Chicago United States

Sponsors and collaborators

University of Rochester

Lead sponsor

National Institutes of Health (NIH)

Collaborator

National Heart, Lung, and Blood Institute (NHLBI)

Collaborator