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Pacing Methods Compared for Heart Failure With Wide QRS

Compares two heart pacing methods in adults with weakened hearts and wide QRS.

Plain-language title generated from the registry record
Registry title: Conduction System Pacing vs Biventricular Pacing in Systolic Dysfunction and Wide QRS: Mortality, Heart Failure Hospitalization or Cardiac Transplant

Key facts

Where
Barcelona, SpainSee the site

Where in Spain

  • Hospital Clinic de BarcelonaBarcelona, SpainTaking people

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Trial details

Who runs it
Hospital Clinic of Barcelona
Trial code
NCT06105580
Record updated
3 April 2026
Original description
Conduction system pacing vs biventricular resynchronization therapy in systolic dysfunction and wide QRS: mortality, heart failure hospitalization or cardiac transplant (CONSYST-CRT II trial).Read full original descriptionShow less

Conduction System Pacing vs Biventricular Resynchronization Therapy in Systolic Dysfunction and Wide QRS: Mortality, Heart Failure Hospitalization or Cardiac Transplant

Conduction system pacing vs biventricular resynchronization therapy in systolic dysfunction and wide QRS: mortality, heart failure hospitalization or cardiac transplant (CONSYST-CRT II trial).

Superiority trial that aims to study the composite endpoint consisting of all-cause mortality, cardiac transplant or heart failure hospitalization at 12-month follow-up.

Inclusion: Patient must indicate acceptance to participate in the study by signing an informed consent document; Patient must be ≥ 18 years of age; Left bundle branch block, QRS ≥130 and LVEF <=35%. No indication of stimulation for AV block; Non-left bundle branch block, QRS ≥150 and LVEF <=35%; Resynchronization therapy indication for ventricular dysfunction (LVEF <40%) and indication of cardiac pacing for AV block; LVEF <=35% in NYHA class III or IV, atrial fibrillation and intrinsic QRS >=130 ms, provided a strategy to ensure biventricular capture is in place.

Exclusion: Myocardial infarction, unstable angina or cardiac revascularization during the previous 3 months; Pregnancy; Participating currently in a clinical investigation that includes an active treatment.

ClinicalTrials.gov NCT06105580