RegionAl Home CardiovErsion study of atrial fibrillation. Pilot study on feasibility.
- Conditions
- Atrial FibrillationSupraventricular arrhythmia10007521
- Registration Number
- NL-OMON39850
- Lead Sponsor
- Medisch Universitair Ziekenhuis Maastricht
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Withdrawn
- Sex
- Not specified
- Target Recruitment
- 30
In order to be included in the study, the patients need to have had a previous successful hospital DC-ECV. Patients aged (20-75 years) with a recurrence of symptomatic persistent AF without hemodynamic instability or other severe co-morbidities requiring DC-ECV (according to ESC guidelines ) are enrolled in the study, after prior uncomplicated hospital DC-ECV. A written informed consent will be obtained.
The exclusion criteria are as follows: Patients over 75 years old (and younger than 20 years), patients wearing pacemaker or implantable cardioverter-defibrillator and patients with severe co-morbidities (liver disease, kidney impairment, pulmonary dysfunction, malignancies, connective tissue disease, inflammatory disease such as peri-myocarditis) are excluded from participating in the study.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>There is one co-primary endpoint:<br /><br>Feasibility endpoint is completion of cardioversion (% of study patients with a<br /><br>recurrence of AF in whom a home cardioversion is performed, i.e. to whom at<br /><br>least one DC countershock was administered while the patient was under deep<br /><br>sedation</p><br>
- Secondary Outcome Measures
Name Time Method <p>Secondary endpoints:<br /><br>- safety endpoint: a composite of MACCE occurring within 24 hours<br /><br>- major adverse cardiovascular and cerebrovascular events (MACCE) occurring<br /><br>during 6 weeks follow-up<br /><br>- any hospitalisation and all-cause mortality during 6 weeks follow-up<br /><br>- number (%) of patients in sinus rhythm at 1 hour in the post-shock<br /><br>observation period<br /><br>- number (%) of patients in sinus rhythm at the end of 6 weeks follow-up<br /><br>- inventory of all interventions in the study related to cost-of-care</p><br>