Primary outcome |
Change in MLHFQ total scores at baseline, 1 month, and 1 year (categorical, relative, and absolute changes)
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Secondary outcomes |
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Pacemaker-monitored data over 1-year study period:
Atrial fibrillation/tachycardia burden
Pacemaker-detected activity levels by accelerometer
Thoracic impedance (surrogate marker for volume overload)
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Clinical endpoints over 1-year study period (composite and individual):
Heart failure hospitalization or invasive outpatient intervention (intravenous loop diuretic)
Loop diuretic initiation or up-titration
Atrial fibrillation hospitalization or invasive outpatient intervention (emergency department visit for symptomatic or rapid atrial fibrillation or cardioversion)
Antiarrhythmic medication initiation or up-titration
Stroke or transient ischemic attack
Myocardial infarction
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Adverse outcomes |
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