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Targeted pharmacological reversal of electrical remodeling after cardioversio

Completed
Conditions
Atrial Fibrillation (AF)
Circulatory System
Registration Number
ISRCTN62728743
Lead Sponsor
German Atrial Fibrillation competence NETwork (AFNET) (Kompetenznetz Vorhofflimmern) (Germany)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
635
Inclusion Criteria

1. Documented persistent atrial fibrillation
2. Age of 18 years
3. Documented oral anticoagulation (international normalized ratio [INR] =2) for at least three weeks prior to inclusion, or exclusion of left atrial thrombi by trans-esophageal echocardiography
4. Written informed consent of the patient

Exclusion Criteria

Exclusion criteria are based on the approval information of flecainide and include, among others, patients with known coronary artery disease or typical angina pectoris, patients with depressed left ventricular ejection fraction (<40%), patients with severely depressed renal or hepatic function, patients with overt thyroid disease, and patients with known Brugada syndrome, sinus node dysfunction or higher degree AV nodal block.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Time to first recurrence of persistent AF
Secondary Outcome Measures
NameTimeMethod
1. Time to first occurrence of a documented relapse of atrial fibrillation<br>2. Number of patients with persistent AF after 6 months<br>3. Number and total duration of documented AF episodes<br>4. Time to termination of trial medication<br>5. Number of hospitalizations due to atrial fibrillation<br>6. Number of visits without hospitalization<br>7. Number of serious adverse events of special interest<br>8. Evolution of left ventricular function<br>9. Quality of life
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