Clinical trial Recruiting at 12 sites Observational Ages 18 and up

Ultra-high-frequency ECG to diagnose ventricular electrical dyssynchrony in patients getting pacemakers

Official title: Pivotal Clinical Study of VDI's Ultra-High Frequency Electrocardiogram (UHF-ECG) for the Diagnosis of Ventricular Electrical Dyssynchrony (VED): THE SYNC Study

Run by VDI Technologies · NCT06641362 · Data updated 2026-11-12

This test checks whether an ultra-high-frequency ECG can safely and accurately detect ventricular dyssynchrony in adults with bradycardia or heart failure who are having their first pacemaker implanted.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment360 (estimated)
SponsorVDI Technologies
Industry-sponsored
Locations12 sites (Avondale, Arizona and 11 other locations)
StatusRecruiting
StartedMarch 18, 2025
Main results expectedMarch 2027
Study endsMay 2027
Registry record updatedMay 5, 2026
Trial IDNCT06641362 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with bradycardia or heart failure who are scheduled for their first pacemaker implantation (including CRT or conduction system pacing) and who meet the specified conduction-pattern criteria are ideal candidates.

Probably not a fit

Patients with a prior pacemaker or defibrillator, those with complete AV block without a stable escape rhythm, or anyone unable to undergo a reliable 12-lead ECG are unlikely to benefit from participation.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study compares a novel ultra-high-frequency electrocardiogram (UHF-ECG) measurement to the standard 12-lead ECG in patients scheduled for first-time pacemaker implantation, including CRT or conduction system pacing. UHF-ECG recordings will be obtained around the time of the implant and analyzed for signs of ventricular electrical dyssynchrony, with results compared against conventional ECG findings. The primary aims are to demonstrate the safety of using the VDI UHF-ECG System in this setting and its diagnostic effectiveness relative to the 12-lead ECG. Data will be collected at several centers, including community and academic sites, to evaluate performance across typical clinical settings.

Why it matters

Potential benefit: If successful, UHF-ECG could help clinicians better identify patients with ventricular dyssynchrony and guide pacemaker or CRT decisions, potentially improving cardiac function and patient outcomes.

How similar studies have gone: The UHF-ECG approach is relatively novel; small research reports suggest it can detect intraventricular dyssynchrony, but large-scale clinical validation versus the 12-lead ECG is still limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Adults with bradycardia or heart failure scheduled for first time pacemaker implant (including CRT/CSP) with one of the following: Bradycardia with ventricular synchrony and QRS duration \<= 110 ms, Bradycardia with LBBB, Bradycardia with RBBB, Bradycardia with other IVCD necessitating intervention, or Heart failure with LBBB
* Understands the nature of the study and is willing to comply with all study requirements.
* Provides written informed consent.
* A negative pregnancy test prior to the procedure for participants of child-bearing potential.

Exclusion Criteria:

* Complete AV block (3rd-degree AV block) without a stable escape rhythm or other circumstances where there is no measurable QRS.
* Subjects with a previous or current pacemaker or defibrillator implant.
* Anatomical or other conditions that may make a 12-lead ECG difficult to obtain, such as an allergy to components of the ECG pads, burns, open wounds, etc.
* Currently enrolled in another investigational device or drug trial that has not completed the active treatment phase and/or would conflict with this study.
* Other co-morbid condition(s) that could limit the participant's ability to participate in the study or to comply with study requirements or impact the scientific integrity of the study.

Where it's running

  • Peak Heart and Vascular
    Avondale, Arizona, United States
    Recruiting
  • Banner Medical Center
    Mesa, Arizona, United States
    Recruiting
  • University of Chicago
    Chicago, Illinois, United States
    Recruiting
  • Mayo Clinic
    Rochester, Minnesota, United States
    Recruiting
  • Ohio State University
    Columbus, Ohio, United States
    Recruiting
  • Baylor College of Medicine
    Houston, Texas, United States
    Recruiting
Show 6 more locations
  • University of Virginia
    Charlottesville, Virginia, United States
    Recruiting
  • Fakultní nemocnice Brno
    Brno, Czechia
    Recruiting
  • St. Anne's University Hospital
    Brno, Czechia
    Recruiting
  • Na Homolce Hospital
    Prague, Czechia
    Recruiting
  • Fakultni Nemocnice Královské Vinohrady
    Prague, Czechia
    Recruiting
  • Catherina Ziekenhuis
    Eindhoven, Netherlands
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • Personalized pacemaker rate setting to improve symptoms in heart failure with bradycardia

    Researchers will try adjusting the pacemaker lower rate to a personalized, hemodynamically optimized heart rate to see if it reduces symptoms in people with heart failure who need a pacemaker.

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  • BIOTRONIK CSP Lead Registry for Left Bundle Branch Area Pacing

    This registry tests BIOTRONIK’s CSP-based pacing lead in patients needing a pacemaker or CRT, to see how it performs in real-life use.

    Recruiting at 12 sites Biotronik SE & Co. KG · Adelaide and 45 other locations · NCT07393009

  • Left bundle branch area pacing with Tendril STS or UltiPace leads

    This study will try left bundle branch area pacing with the Tendril STS or UltiPace lead in adults who need pacemaker leads for bradycardia or related heart conditions to see if pacing and sensing are safe and work through six months after implant.

    Recruiting at 13 sites Abbott Medical Devices · Rio de Janeiro, Rio de Janeiro and 14 other locations · NCT07217392

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.