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Appropriate and Inappropriate Shock Therapy With ICDRHYTHM DETECTNCT02275637

Arrhythmias Detection in a Real World Population

An observational study of Appropriate and Inappropriate Shock Therapy With ICD and Arrhythmias Detection, run by Fondazione IRCCS Policlinico San Matteo di Pavia at 12 sites in Italy.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The study is a prospective multicenter registry. Consecutive patients with indications of implant / replacement or upgrade of implantable cardioverter defibrillator (ICD) will be enrolled. Read more about this study

Who is it for?
Any age
What is being tested?
implantable cardioverter defibrillator
Type of treatment
Medical device
How many people
10,000 participants
Where
12 sitesItaly
Study dates
Sep 2014to Dec 2028
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: This study requires patients implanted with a defibrillator that meet all inclusion/exclusion criteria.

Who may be able to join

  • Patient implanted with a Subcutaneous (S)- Ventricular Chamber (VR)- Dual Chamber (DR) - or Cardiac Resynchronization Therapy (CRT) Defibrillator (this study will utilize all the market released CRT-D or VR/DR-ICD systems and leads)
  • Patient is willing and able to sign an authorization to use and disclose health information or an Informed Consent
  • Patient must be able to attend all required follow-up visits at the study center for at least 12 months

Who cannot join

  • Patient is participating in another clinical study that may have an impact on the study endpoints
  • Women who are pregnant or plan to become pregnant

Trial locations and contacts

12 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Alessandro Vicentini, MD contact

0382.503715 ext. 0039

clinical-estimate@isis.it

12 sites in 1 country

Italy12 sites, 12 recruiting
  • Ospedale Papa Giovanni XXIII

    Bergamo

    Paolo De Filippo, 035 267 3522 ext. 0039, pdefilippo@asst-pg23.it

    Recruiting
  • Policlinico S.Orsola-Malpighi

    Bologna

    Mauro Biffi, 051 2143259 ext. 0039, mauro.biffi@aosp.bo.it

    Recruiting
  • P.O. Rodolico-San Marco

    Catania

    Valeria Calvi, 095 3781172 ext. 0039, valcalvi@unict.it

    Recruiting
  • Azienda Ospedaliero Universitaria Careggi

    Florence

    Paolo Pieragnoli, 055 794111 ext. 0039, pieragnolip@aou-careggi.toscana.it

    Recruiting
  • ASST Rhodense- Ospedale di Rho

    Milan

    Gianluca Botto, 02.994301 ext. 0039, gluca.botto@gmail.com

    Recruiting
  • IRCCS S.Ambrogio-Galeazzi

    Milan

    Luca Ottaviano, 0224209619 ext. 0039, lucaottavianodr@gmail.com

    Recruiting
  • Ospedale dei Colli Monaldi

    Naples

    Valter Bianchi, 081 578 7109 ext. 0039, Valterbianchi.59@gmail.com

    Recruiting
  • University of Padua

    Padua

    Federico Migliore, 049 8212479 ext. 0039, federico.migliore@unipd.it

    Recruiting
  • IRCC Policlinico San Matteo

    Pavia

    Recruiting
  • Azienda Ospedaliero Universitaria Pisa Cisanello

    Pisa

    Stefano Viani, 050 993043 ext. 0039, s.viani@ao-pisa.toscana.it

    Recruiting
  • Azienda Ospedaliera S.Andrea

    Rome

    Pietro Francia, 06 33 77 55 61 ext. 0039, pietro.francia@uniroma1.it

    Recruiting
  • Ospedale Bambino Gesù

    Rome

    Massimo Silvetti, 06.6859.3354 ext. 0039, mstefano.silvetti@opbg.net

    Recruiting

Other trials in Italy

About this study

Official title: Arrhythmias Detection in a Real World Population: the RHYTHM DETECT Registry

The study is a prospective multicenter registry. Consecutive patients with indications of implant / replacement or upgrade of implantable cardioverter defibrillator (ICD) will be enrolled.

The primary objective of the study is to determine the predictors of appropriate anti-tachycardia therapy (with shock) in a non-selected population of patients implanted with an ICD.

Secondary objectives of the study are:

  • the incidence of anti-tachycardia therapies;
  • the predictors of inappropriate therapy and onset of arrhythmia burden;
  • the adherence to the current guidelines in the Italian clinical practice;
  • the predictors of heart failure (HF) onset and response to cardiac resynchronization therapy (CRT).
Being tested
implantable cardioverter defibrillator
Keywords
Implantable Cardioverter-Defibrillators, Ventricular Fibrillation, ventricular Tachycardia
Medical subject headings
Ventricular Fibrillation, Tachycardia, Ventricular

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • implantable cardioverter defibrillatorDevice

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Patients with ICD therapy (shock)

    Clinical or instrumental parameters that could predict the appropriate ICD therapies

    Measured: 24 months

Secondary outcomes (4)
  1. Patients with inappropriate shock therapy

    Clinical or instrumental parameters that could predict the inappropriate ICD therapies

    Measured: 24 months

  2. Incidence of ICD therapies

    Number of patients with ICD therapies

    Measured: 24 months

  3. Time to first ICD therapy

    Measured: 24 months

  4. Predictors of onset and Atrial Fibrillation (AF) burden

    Measured: 24 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Oct 2014 (estimated)
  2. Study startSep 2014
  3. Primary completionDec 2028 (estimated)
  4. Study completionDec 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
10,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02275637
Sponsor's protocol ID
20140002277 del 27/05/2014
Acronym
RHYTHM DETECT
Status last verified
Jan 2025
First submitted
9 Oct 2014
Last updated
8 Jul 2025
Results posted
No
Data monitoring committee
No

Publications

  • Botto GL, Migliore F, Pieragnoli P, Viani S, Bisignani A, Ziacchi M, Silvetti MS, Nigro G, Bianchi V, Mariani MV, Savarese G, Pittorru R, Bambagioni G, Lovecchio M, Valsecchi S, Biffi M, Casale MC; "S-ICD Rhythm Detect" investigators. Subcutaneous ICD therapy in patients with monomorphic ventricular tachycardia: Arrhythmia recurrence, shock rate, and management strategies. Heart Rhythm. 2026 May 25:S1547-5271(26)02401-X. doi: 10.1016/j.hrthm.2026.05.034. Online ahead of print.

    PubMed 42190924
  • Migliore F, Ottaviano L, Arestia A, Nigro G, Dello Russo A, Viani S, Bianchi V, Bisignani A, Pieragnoli P, Vitulano G, Rordorf R, Francia P, Taravelli E, Pisano E, Lavalle C, Brambilla R, Ziacchi M, Rapacciuolo A, Viscusi M, De Filippo P, La Greca C, Pepi P, Notarstefano P, Curcio A, Pittorru R, Martini N, Seganti A, Napolitano C, Lovecchio M, Valsecchi S, Botto G, Priori SG; S-ICD Rhythm Detect Investigators. Subcutaneous Implantable Defibrillator Therapy in Patients With Brugada Syndrome: Data From a Large Multicenter Registry. JACC Clin Electrophysiol. 2025 Jul;11(7):1572-1582. doi: 10.1016/j.jacep.2025.03.003. Epub 2025 Mar 29.

    PubMed 40156599
  • Ziacchi M, Ottaviano L, Checchi L, Viani S, Nigro G, Bianchi V, De Bonis S, De Filippo P, Francia P, Rapacciuolo A, Vitulano G, Perego GB, Schillaci V, Lavalle C, Migliore F, Pisano ECL, Compagnucci P, Palmisano P, Botto G, Rordorf R, Lovecchio M, Valsecchi S, Biffi M. The risk of failure of subcutaneous implantable cardioverter defibrillator therapy: from PRAETORIAN score to clinical practice. Europace. 2025 Feb 5;27(2):euaf011. doi: 10.1093/europace/euaf011.

    PubMed 39834232
  • Boriani G, Bertini M, Manzo M, Calo L, Santini L, Savarese G, Dello Russo A, Santobuono VE, Lavalle C, Viscusi M, Amellone C, Calvanese R, Santoro A, Rapacciuolo A, Ziacchi M, Arena G, Imberti JF, Campari M, Valsecchi S, D'Onofrio A. Performance of a multi-sensor implantable defibrillator algorithm for heart failure monitoring in the presence of atrial fibrillation. Europace. 2023 Aug 2;25(9):euad261. doi: 10.1093/europace/euad261.

    PubMed 37656991
  • Migliore F, Biffi M, Viani S, Pittorru R, Francia P, Pieragnoli P, De Filippo P, Bisignani G, Nigro G, Dello Russo A, Pisano E, Palmisano P, Rapacciuolo A, Silvetti MS, Lavalle C, Curcio A, Rordorf R, Lovecchio M, Valsecchi S, D'Onofrio A, Botto GL. Modern subcutaneous implantable defibrillator therapy in patients with cardiomyopathies and channelopathies: data from a large multicentre registry. Europace. 2023 Aug 2;25(9):euad239. doi: 10.1093/europace/euad239.

    PubMed 37536671
  • De Filippo P, Migliore F, Palmisano P, Nigro G, Ziacchi M, Rordorf R, Pieragnoli P, Di Grazia A, Ottaviano L, Francia P, Pisano E, Tola G, Giammaria M, D'Onofrio A, Botto GL, Zucchelli G, Ferrari P, Lovecchio M, Valsecchi S, Viani S. Procedure, management, and outcome of subcutaneous implantable cardioverter-defibrillator extraction in clinical practice. Europace. 2023 Jun 2;25(6):euad158. doi: 10.1093/europace/euad158.

    PubMed 37350404
  • Santobuono VE, Favale S, D'Onofrio A, Manzo M, Calo L, Bertini M, Savarese G, Santini L, Dello Russo A, Lavalle C, Viscusi M, Amellone C, Calvanese R, Arena G, Pangallo A, Rapacciuolo A, Porcelli D, Campari M, Valsecchi S, Guaricci AI. Performance of a multisensor implantable defibrillator algorithm for heart failure monitoring related to co-morbidities. ESC Heart Fail. 2023 Aug;10(4):2469-2478. doi: 10.1002/ehf2.14416. Epub 2023 Jun 5.

    PubMed 37278122
  • Rordorf R, Viani S, Biffi M, Pieragnoli P, Migliore F, D'Onofrio A, Nigro G, Francia P, Ferrari P, Dello Russo A, Bisignani A, Ottaviano L, Palmisano P, Caravati F, Pisano E, Pani A, Botto GL, Lovecchio M, Valsecchi S, Vicentini A. Reduction in inappropriate therapies through device programming in subcutaneous implantable defibrillator patients: data from clinical practice. Europace. 2023 May 19;25(5):euac234. doi: 10.1093/europace/euac234.

    PubMed 36932709
  • Bertini M, Vitali F, D'Onofrio A, Vitulano G, Calo L, Savarese G, Santobuono VE, Dello Russo A, Mattera A, Santoro A, Calvanese R, Arena G, Amellone C, Ziacchi M, Palmisano P, Santini L, Mazza A, Campari M, Valsecchi S, Boriani G. Combination of an implantable defibrillator multi-sensor heart failure index and an apnea index for the prediction of atrial high-rate events. Europace. 2023 Apr 15;25(4):1467-1474. doi: 10.1093/europace/euad052.

    PubMed 36881780
  • Botto GL, Ziacchi M, Nigro G, D'Onofrio A, Dello Russo A, Francia P, Viani S, Pisano E, Bisignani G, Caravati F, Migliore F, De Filippo P, Ottaviano L, Rordorf R, Manzo M, Canevese FL, Lovecchio M, Valsecchi S, Checchi L. Intermuscular technique for implantation of the subcutaneous implantable defibrillator: a propensity-matched case-control study. Europace. 2023 Apr 15;25(4):1423-1431. doi: 10.1093/europace/euad028.

    PubMed 36794691
  • Mazza A, Bendini MG, Bianchi V, Esposito C, Calo L, Andreoli C, Santobuono VE, Dello Russo A, Viscusi M, La Greca C, Baiocchi C, Talarico A, Albanese R, Arena G, Giubilato G, Ziacchi M, Rapacciuolo A, Campari M, Valsecchi S, Boriani G. Association Between Device-Detected Sleep-Disordered Breathing and Implantable Defibrillator Therapy in Patients With Heart Failure. JACC Clin Electrophysiol. 2022 Oct;8(10):1249-1256. doi: 10.1016/j.jacep.2022.07.017. Epub 2022 Sep 28.

    PubMed 36266001
  • Vicentini A, Bisignani G, De Vivo S, Viani S, Savarese G, Francia P, Celentano E, Checchi L, Carreras G, Santini L, Lamberti F, Ottaviano L, Scalone A, Giorgi D, Lovecchio M, Valsecchi S, Rordorf R; "S-ICD Rhythm Detect" Investigators. Patient acceptance of subcutaneous versus transvenous defibrillator systems: A multi-center experience. J Cardiovasc Electrophysiol. 2022 Jan;33(1):81-89. doi: 10.1111/jce.15297. Epub 2021 Nov 28.

    PubMed 34797012
  • Russo V, Viani S, Migliore F, Nigro G, Biffi M, Tola G, Bisignani G, Dello Russo A, Sartori P, Rordorf R, Ottaviano L, Perego GB, Checchi L, Segreti L, Bertaglia E, Lovecchio M, Valsecchi S, Bongiorni MG. Lead Abandonment and Subcutaneous Implantable Cardioverter-Defibrillator (S-ICD) Implantation in a Cohort of Patients With ICD Lead Malfunction. Front Cardiovasc Med. 2021 Jul 27;8:692943. doi: 10.3389/fcvm.2021.692943. eCollection 2021.

    PubMed 34395560
  • Calo L, Bianchi V, Ferraioli D, Santini L, Dello Russo A, Carriere C, Santobuono VE, Andreoli C, La Greca C, Arena G, Talarico A, Pisano E, Santoro A, Giammaria M, Ziacchi M, Viscusi M, De Ruvo E, Campari M, Valsecchi S, D'Onofrio A; Full list of participant centers and investigators. Multiparametric Implantable Cardioverter-Defibrillator Algorithm for Heart Failure Risk Stratification and Management: An Analysis in Clinical Practice. Circ Heart Fail. 2021 Oct;14(10):e008134. doi: 10.1161/CIRCHEARTFAILURE.120.008134. Epub 2021 Jun 30.

    PubMed 34190592
  • Francia P, Adduci C, Angeletti A, Ottaviano L, Perrotta L, De Vivo S, Bongiorni MG, Migliore F, Russo AD, De Filippo P, Caravati F, Nigro G, Palmisano P, Viani S, D'Onofrio A, Lovecchio M, Valsecchi S, Ziacchi M. Acute shock efficacy of the subcutaneous implantable cardioverter-defibrillator according to the implantation technique. J Cardiovasc Electrophysiol. 2021 Jun;32(6):1695-1703. doi: 10.1111/jce.15081. Epub 2021 May 16.

    PubMed 33969578

Questions about this trial

What is this clinical trial studying?

An observational study of Appropriate and Inappropriate Shock Therapy With ICD and Arrhythmias Detection, run by Fondazione IRCCS Policlinico San Matteo di Pavia at 12 sites in Italy.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 8 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 12 sites in Italy. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Alessandro Vicentini, MD (0382.503715 ext. 0039, clinical-estimate@isis.it), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Patients with ICD therapy (shock) (time frame: 24 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02275637, which also lists 18 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Jul 2025.

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