KONVERT-AF - Relevance of Point in Time for Conversion of Acute Atrial Fibrillation
- Conditions
- Atrial Fibrillation
- Registration Number
- NCT00369330
- Lead Sponsor
- Atrial Fibrillation Network
- Brief Summary
To investigate if in acute symptomatic atrial fibrillation (AF) the early (\>2 hrs but within 12 hrs of the beginning of the arrhythmia) electrical cardioversion leads to a longer recurrence-free interval than the delayed cardioversion (\> 36 hrs but \< 48 hrs after the beginning of the arrhythmia) within the first 3 months after cardioversion.
- Detailed Description
So far it is unknown if early or delayed cardioversion is most beneficial for patient outcome and which strategy is best to prevent recurrence of AF. The KONVERT-AF trial investigates if in acute symptomatic AF the early (\>2 hrs but within 12 hrs of the beginning of the arrhythmia) electrical cardioversion leads to a longer recurrence-free interval than the delayed cardioversion (\> 36 hrs but \< 48 hrs after the beginning of the arrhythmia) within the first 3 months after cardioversion. Primary endpoint is the time to the first recurrence of AF. The KONVERT-AF trial will be conducted as prospective, randomized, non-blinded multicentre study. It is planned to include 380 patients in 10-20 recruitment centres.
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- All
- Target Recruitment
- Not specified
- documented AF that began between 2 and 8 hrs before randomization
- indication for electrical cardioversion.
- age above 18 yrs
- written informed consent
- AF caused by not adequately treated reversible conditions(e.g. myocardial infarction, thyrotoxicosis, ethanol intoxication, infection, pericarditis, surgery)
- newly initiated (i.e. within 7 days before randomization) antiarrhythmic agents of class I, II and/or III
- catheter ablation of AF within 3 months before randomization
- pacemaker or icd
- myocardial infarction within 3 months before randomization
- urgent need to cardioversion of AF because of associated potentially dangerous symptoms such as chest pain, syncope, dyspnea
- contraindications for therapy with vitamin k-antagonists
- intracardial thrombus
- primary indication for pharmacological cardioversion
- in females: pregnancy, lactation period or no sufficient contraception within last 3 months
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Medizinische Klinik und Poliklinik II, University Hospital of Bonn
🇩🇪Bonn, Germany
Medizinische Klinik und Poliklinik II, University Hospital of Bonn🇩🇪Bonn, Germany