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Clinical Trials/NCT03401593
NCT03401593
Not yet recruiting
Not Applicable

Long Term Evaluation and Management of Atrial Fibrillation in Pacemaker Patients (AF-pacemaker Tx Study)

Yonsei University1 site in 1 country135 target enrollmentOctober 2019

Overview

Phase
Not Applicable
Intervention
midazolam with fentanyl
Conditions
Permanent Pacemaker Implantation
Sponsor
Yonsei University
Enrollment
135
Locations
1
Primary Endpoint
Recurrence rate of AF/AFL/AT in both groups
Status
Not yet recruiting
Last Updated
6 years ago

Overview

Brief Summary

This study is prospective randomized study which was performed in multicenter (General Hospital) in Korea. Inclusion criteria is patients who developed atrial fibrillation/flutter/tachycardia after pacemaker implantation among AF-pacemaker study (ClinicalTrials.gov Identifier: NCT03303872). The purpose is to investigate the recurrence rate of AF/AFL/AT in both groups after randomization for 60 months (5 years) in patients post pacemaker implantation and assess long term clinical results.

Registry
clinicaltrials.gov
Start Date
October 2019
End Date
June 2028
Last Updated
6 years ago
Study Type
Interventional
Study Design
Parallel
Sex
All

Investigators

Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • Patients who developed atrial fibrillation/flutter/tachycardia after pacemaker implantation among AF-pacemaker study (ClinicalTrials.gov Identifier: NCT03303872).
  • Age: 18-80 years
  • Patients eligible for the indications for permanent pacemaker implantation in accordance with 2016 revised Korean indication guideline on cardiac pacemaker implantation
  • Estimated percentage of atrial pacing \>40% under sinus rhythm (LR≥60bpm, close hysteresis and rest rate)
  • Estimated percentage of ventricular pacing \>40% under sinus rhythm (LR≥40bpm, DDD pacing, close hysteresis and rest rate)
  • Patients who are willing to sign the informed consent.
  • Patients who are willing to receive the implantation and post-operative follow-up.

Exclusion Criteria

  • Persistent or permanent AF
  • Severe hepatic and renal insufficiency (AST or ALT ≥ three times of normal upper limit; SCr \> 3.5 mg/dl or Ccr \< 30ml/min)
  • Thyroid gland dysfunction
  • Pregnancy
  • Malignant tumor
  • Severe organic heart disease (such as moderate to severe mitral regurgitation, severe valvular regurgitation and stenosis, dilated cardiomyopathy, hypertrophic cardiomyopathy, severe heart valve disease)
  • Life expectancy \< 12 months
  • Patients unable or unwilling to cooperate in the study procedures.

Arms & Interventions

ablation

Patients in this group are treated with radio-frequency catheter ablation.

Intervention: midazolam with fentanyl

Outcomes

Primary Outcomes

Recurrence rate of AF/AFL/AT in both groups

Time Frame: 6-month follow up to 5 years

recurrence of AF/AFL/AT evaluated using device interrogation

Secondary Outcomes

  • Left ventricular ejection fraction(1 year after randomization)
  • Left atrial diameter(1 year after randomization)
  • Stroke(6-month follow up to 5 years)

Study Sites (1)

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