Exploring the link between alcohol and atrial fibrillation recurrence: a multicentre randomised controlled trial (ETOH-AF)
- Conditions
- Atrial fibrillationAtrial flutterAlcohol abuseCardiomyopathyHypertensionObstructive sleep apnoeaCardiovascular - Other cardiovascular diseasesPublic Health - Health promotion/education
- Registration Number
- ACTRN12616000256471
- Lead Sponsor
- Prof Peter Kistler
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 140
Paroxysmal AF (atrial fibrillation and/or flutter) with minimum 2 episodes in the last 6 months or persistent AF requiring direct cardioversion
- Average alcohol intake at least 10 standard drinks per week (120 g/week).
To be eligible for the sub-study (ABSTAIN-PVI), patients will need to have had a previous pulmonary vein isolation (AF ablation) procedure (in addition to the above criteria).
- Evidence of alcohol dependence (as determined by CAGE & AUDIT-C questionnaires)
- Presence of significant psychiatric comorbidity or cognitive impairment
- Permanent AF (where sinus rhythm cannot be restored)
- Advanced heart failure, as defined by left ventricular ejection fraction < 35%.
- Limited life expectancy (less than 24 months) due to co-morbid non-cardiac illness, including liver failure, end-stage renal disease or advanced malignancy.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Atrial fibrillation / flutter (AF) burden - percentage of time spent in AF during the follow-up period (as assessed by either 3-monthly 7-day Holter monitor + symptom review with ECG, loop recorder or dual-chamber pacemaker).<br>[From start of intervention to 6 months later ];Time to first AF recurrence (by either Holter monitor, loop recorder, dual-chamber pacemaker, or ECG during symptoms)[Within the first 6 months from start of intervention (after a two week blanking period)]
- Secondary Outcome Measures
Name Time Method