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