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NCT Number: NCT07020910

Bad Berka Heart Rhythm Registry of Patients With or at Risk of Arrhythmias Treated at Heart Center Bad Berka

The Bad Berka Heart Rhythm Registry (2B2R) is a prospective, single-center observational cohort designed to systematically collect and analyze data of patients undergoing cardiac arrhythmia therapy as well as implantation of cardiac electronic devices (CIEDs) at the Heart Center Bad Berka.

The register aims to evaluate procedural safety, acute and long-term efficacy, and clinical outcomes across a broad spectrum of arrhythmias and interventional strategies, including novel technologies such as pulsed field ablation (PFA) and conduction system pacing. The registry is intended to generate real-world evidence to support clinical decision-making, identify predictors of outcomes, and contribute to quality assurance and innovation in the field of cardiac electrophysiology.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Zentralklinik Bad Berka

Bad Berka, Germany

Location status: Recruiting

Location contact

Christoph Geller, Prof. Dr. med.

CONTACT

[email protected]

+49 (0) 36458 5-1201 / 1205

J. Christoph Geller, Prof. Dr. med.

PRINCIPAL_INVESTIGATOR

Santi Raffa, Dr. (Univ. Messina) Ph.D

PRINCIPAL_INVESTIGATOR

Santi Raffa, Dr. (Univ. Messina) Ph.D.

CONTACT

[email protected]

+49 (0) 36458 5-1201 / 1205

About this study

The field of cardiac electrophysiology continues to evolve rapidly, with new tools and techniques improving both arrhythmia diagnosis and therapy. While randomized controlled trials provide critical insights, real-world data from clinical practice are essential to evaluate safety, efficacy, and long-term outcomes across diverse patient populations and treatment modalities.

The 2B2R registry aims to bridge this gap by collecting comprehensive clinical data of patients referred for cardiac arrhythmia treatment including drug therapy, electrophysiological studies, catheter ablation (e.g. atrial fibrillation, atrial flutter, atrial and AV-node dependent supraventricular tachycardia, premature ventricular contractions, and ventricular tachycardia), interventional stroke-prevention, as well as device implantation at the Heart Center Bad Berka.

Data will be prospectively collected, procedural parameters, complication rates, acute success, follow-up outcomes, imaging, device therapy, and patient-reported outcomes will be assessed. Substudies focused on specific arrhythmias or technologies (e.g., pulsed field ablation, high-density mapping, or device therapy such as conduction system pacing) will be embedded within the registry.

The data will be analyzed to: - Evaluate clinical effectiveness and safety of interventional EP procedures - Assess predictors of arrhythmia recurrence or procedural complications - Compare technologies and procedural strategies

  • Monitor quality metrics and inform continuous process improvement Participation in the registry does not influence clinical management which remains at the discretion of the treating physicians. The registry complies with all applicable data protection and ethical standards.

Who can participate

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age ≥18 years
  • At risk of or with documented cardiac arrhythmia undergoing medical or interventional therapy at the Heart Center Bad Berka
  • Informed consent obtained

Exclusion criteria

  • Inability or unwillingness to provide informed consent
  • Participation in another interventional trial that precludes registry inclusion

Treatment and study plan

Primary outcomes

  1. Acute Treatment Success

    Time frame: Perioperative/Periprocedural

    • Acute Treatment Success Defined as acute symptom control and achievement of predefined procedural endpoints (e.g. AV-nodal modification, elimination of accessory pathway conduction, pulmonary vein isolation, bidirectional block across linear ablation lesions, suppression of ectopic beats, non-inducibility of the clinical arrhythmia, effective occlusion of the left atrial appendage, successful CIED-implantation)
  2. Safety (peri-procedural Complications)

    Time frame: within 30 days

    Incidence of major complications (e.g. development of ventricular proarrhythmia, tamponade, stroke, vascular injury, AV-block, phrenic nerve palsy, pneumothorax, hemothorax, lead dislodgment, or death)

Secondary outcomes

  1. Arrhythmia Recurrence

    Time frame: through study completion, an average of 1 year

    Documented recurrence of the treated arrhythmia after the blanking period (if applicable), using scheduled 24-48h Holter-ECG, 12-lead-ECG, CIEDs, and smart devices (e.g. smart-watch…).

  2. All-cause Rehospitalization

    Time frame: through study completion, an average of 1 year

    Number of hospitalizations following the index procedure.

  3. Symptom and Quality of Life Improvement

    Time frame: through study completion, an average of 1 year

    Based on structured follow-up or telephone follow up where applicable.

  4. Device Therapy Outcomes (in patients with CIEDs)- 1.Lead performance -

    Time frame: through study completion, an average of 1 year

    evaluation of implanted cardiac device leads (pacemaker, ICD, CRT) in terms of electrical integrity, sensing and pacing thresholds, impedance stability.

  5. Device Therapy Outcomes (in patients with CIEDs) - 2. Appropriate and inappropriate therapies-

    Time frame: through study completion, an average of 1 year

    Number and type of appropriate and inappropriate device therapies (e.g., anti-tachycardia pacing or shocks) delivered by implantable cardioverter-defibrillators (ICDs) or CRT-Ds.

  6. Device Therapy Outcomes (in patients with CIEDs)-3. Device related complications-

    Time frame: through study completion, an average of 1 year

    Incidence of device-related complications following implantation of cardiac implantable electronic devices (CIEDs), including lead dislodgement, infection, hematoma requiring intervention, pneumothorax, lead fracture, insulation failure, and pocket erosion.

Study contacts

Contact information is provided by the study sponsor or research team.

Christoph Geller, Prof. Dr. med.

CONTACT

[email protected]

+49 (0) 36458 5-1201 / 1205

Santi Raffa, Dr. (Univ. Messina) Ph.D.

CONTACT

[email protected]

+49 (0) 36458 5-1201 / 1205

Sponsors and collaborators

Lead sponsor

Zentralklinik Bad Berka

Other

Registry information

Official study title

The Bad Berka Heart Rhythm Registry (2B2R) is a Prospective, Single-center Observational Cohort Evaluating Safety, Efficacy, and Outcomes in Patients Undergoing Arrhythmia Therapy or CIED Implantation at the Heart Center Bad Berka

Acronym: 2B2R

Important dates

Study start
2024
Primary completion
2029
Study completion
2034
First posted
Jun 13, 2025
Registry last updated
Jun 13, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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