Status:

UNKNOWN

Pulsed-field Ablation for Patients With Asymptomatic Non-paroxysmal Atrial Fibrillation

Lead Sponsor:

Charles University, Czech Republic

Collaborating Sponsors:

Regional Hospital Liberec

Nemocnice AGEL Trinec-Podlesi a.s.

Conditions:

Atrial Fibrillation

Pulsed-field Ablation

Eligibility:

All Genders

18-75 years

Phase:

PHASE2

PHASE3

Brief Summary

The goal of the study is to test the hypothesis whether the treatment of patients with asymptomatic non-paroxysmal AF based on catheter ablation will be superior than conservative approach consisting ...

Detailed Description

Background According to the current guidelines, catheter ablation (CA) for atrial fibrillation (AF) is recommended for rhythm control therapy in patients with paroxysmal or non-paroxysmal AF to improv...

Eligibility Criteria

Inclusion

  • non-paroxysmal AF
  • absence of symptoms during standard clinical evaluation
  • AFEQT\> 80
  • NT-pro BNP \< 800 pg/mL

Exclusion

  • significant valvular disease
  • left ventricular dysfunction - LV EF \< 50 %
  • history of tachycardia - induced cardiomyopathy
  • pulmonary hypertension (sPAP \> 40 mm Hg)
  • age \> 75 years
  • LA size \> 60 mm
  • physical limitations that don't enable functional cardiopulmonary exercise testing
  • overt coronary artery disease
  • pregnancy
  • BMI \> 40
  • chronic obstructive pulmonary disease with moderate or severe obstruction
  • life expectancy less than 2 years
  • permanent AF
  • ophthalmological medication (eye drops) containing beta-blockers

Key Trial Info

Start Date :

January 1 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 31 2025

Estimated Enrollment :

124 Patients enrolled

Trial Details

Trial ID

NCT06166524

Start Date

January 1 2024

End Date

December 31 2025

Last Update

December 12 2023

Active Locations (1)

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1

Cardiocenter, 3rd Medical School, Charles University and University Hospital Kralovske Vinohrady

Prague, Czechia, 10034