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Clinical Trials/NCT07278089
NCT07278089RecruitingNot Applicable

Screening of Atrial Fibrillation/Arrhythmia Events in Patients With Abnormal Echocardiographic Parameters: The Randomized, Prospective SAFE-ECHO Study Design and Rationale

Tze-Fan Chao1 site in 1 country3,000 target enrollmentStarted: March 17, 2025Last updated:

Trial Snapshot

Phase
Not Applicable
Status
Recruiting
Sponsor
Enrollment
3,000
Locations
1
Primary Endpoint
the detection of AF either by 12-lead ECG or any episodes of AF lasting ≥ 30 seconds by the single-lead ECG or 7-day continuous recording.

Study Overview

Brief Summary

To evaluate the feasibility of specific echocardiographic parameters as criteria for AF screening and to determine the AF detection yield of scheduled extended ECG monitoring compared to contemporary care.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Diagnostic
Masking
None

Eligibility Criteria

Ages
20 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • patients who met any of the following criteria
  • LAE: defined as LAD ≥ 45 mm or LAVI > 34 ml/m2;
  • LVH: defined as LV septal or posterior wall thickness ≥ 15 mm;
  • E/e' > 14;
  • grade II or III diastolic dysfunction;
  • HF: defined as LVEF < 40% or LVEF ≥40% with clinical presentation compatible with Framingham criteria, New York Heart Association functional classification II-IV, and N-terminal pro-B type natriuretic peptide (NT-proBNP) > 125 pg/ml.

Exclusion Criteria

  • Patients with a history of AF or atrial flutter, congenital heart disease, acute coronary syndrome undergoing urgent percutaneous coronary intervention within 3 months, uncontrolled hyperthyroidism, end-stage renal disease, unstable hemodynamic status or any known major comorbidities or medical conditions with expected life expectancy less than 1 year are excluded.

Outcomes

Primary Outcomes

the detection of AF either by 12-lead ECG or any episodes of AF lasting ≥ 30 seconds by the single-lead ECG or 7-day continuous recording.

Time Frame: 2 years

Secondary Outcomes

No secondary outcomes reported

Investigators

Sponsor
Tze-Fan Chao
Sponsor Class
Other Gov
Responsible Party
Sponsor Investigator
Principal Investigator

Tze-Fan Chao

Doctor

Taipei Veterans General Hospital, Taiwan

Study Sites (1)

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