Rate Control in Atrial Fibrillation
- Registration Number
- NCT02251509
- Lead Sponsor
- Creighton University
- Brief Summary
This study will evaluate the efficacy of metoprolol tartrate compared to carvedilol on heart rate control in patients with atrial fibrillation and a rapid ventricular rate.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 20
Inclusion Criteria
- Permanent atrial fibrillation
- Baseline ventricular rate (prior to treatment) > 110 bpm
Exclusion Criteria
- History of accessory tract re-entry tachycardia
- Ejection fraction < 35% or history of NYHA Class III/IV stage C/D heart failure
- Acute coronary syndrome, percutaneous coronary intervention, or cardiac surgery in the past 2 months
- Child-Pugh class B or C hepatic dysfunction
- Uncontrolled hypertension
- Thyroid disease
- Intolerance to beta-blockers
- History of lung disease resulting in hospitalization in the past year
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Arm && Interventions
Group Intervention Description Carvedilol Carvedilol carvedilol BID for 2 weeks Metoprolol tartrate Metoprolol tartrate Metoprolol tartrate BID for 2 weeks
- Primary Outcome Measures
Name Time Method Resting heart rate 2 weeks Resting heart rate less than 80 bpm
- Secondary Outcome Measures
Name Time Method
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What molecular mechanisms underlie carvedilol's rate control effects in atrial fibrillation compared to metoprolol tartrate?
How does the comparative effectiveness of carvedilol and metoprolol tartrate in rate control for atrial fibrillation patients compare to other beta-blockers like bisoprolol or atenolol?
Are there specific biomarkers such as NT-proBNP or BNP levels that correlate with differential response to carvedilol versus metoprolol tartrate in rapid ventricular rate atrial fibrillation?
What are the known adverse event profiles and management strategies for carvedilol and metoprolol tartrate in elderly patients with paroxysmal versus persistent atrial fibrillation?
How do combination approaches involving carvedilol or metoprolol tartrate with non-digoxin calcium channel blockers impact rate control in atrial fibrillation patients with heart failure?
Trial Locations
- Locations (1)
Creighton University
🇺🇸Omaha, Nebraska, United States
Creighton University🇺🇸Omaha, Nebraska, United StatesCaroline NubelContact402-280-4032carolinenubel@creighton.eduPallavi Bellamkonda, MBBSPrincipal Investigator