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Predicting Disease Progression in Atrial Fibrillation: A Multiparametric Approach for Prognostic Marker Identification and Personalized Patient Management

Not yet recruiting
Conditions
Atrial Fibrillation (AF)
Registration Number
NCT06647914
Lead Sponsor
IRCCS Policlinico S. Donato
Brief Summary

This project leverages artificial intelligence (AI) to decipher Atrial Fibrillation (AF) progression and optimize treatment strategies. By recruiting a diverse cohort of 322 AF patients, we will gather a robust multiparametric dataset including clinical, genetic, electrocardiographic, and echocardiographic data. Harnessing AI, we will extract and correlate hidden components within ECG-obtained P-wave data and echocardiographic studies with atrial fibrosis, culminating in an atrial fibrosis score (AFS). The AFS will non-invasively predict fibrosis extent and AF clinical progression, including metrics like rehospitalization, cardiac morbidity, and mortality. Ultimately, this endeavor aims to improve AF patient management, significantly reducing healthcare costs, and enhancing patient quality of life.

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
322
Inclusion Criteria
  • History of paroxysmal or persistent atrial fibrillation
  • Clinical indication for Atrial Fibrosis (AF) ablation according to the 2020 ESC Guidelines
Exclusion Criteria
  • Age below 18 years old
  • Refusal to sign consent
  • Noncompliance with the study protocol

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
A composite clinical point used to evaluate the Atrial Fibrosis Score prognostic capabilityPartecipants will be assessed at the baseline and at 6 months and 12 months time points. The AFS Prediction Model Testing will start at 9 months after the beginning of the patients enrollment.

The clinical endpoint will be composed by rehospitalization, cardiac morbidity and total mortality data

Secondary Outcome Measures
NameTimeMethod
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