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临床试验/2024-515433-15-02
2024-515433-15-02招募中4 期

Management of Anticoagulant Therapy monitored by an implantable device with telecardiology in patients with Acute Coronary Syndrome associated with de novo atrial Fibrillation Arrhythmia (SCA-FA): A prospective multicenter study

Centre Hospitalier De Pau15 个研究点 分布在 1 个国家目标入组 500 人开始时间: 2025年1月29日最近更新:
适应症
相关药物

试验速览

阶段
4 期
状态
招募中
入组人数
500
试验地点
15
主要终点
Occurrence during the 2 years of follow-up of a bleeding event defined by a score ≥2 according to the BARC scale

研究概览

简要总结

To show that the introduction of an anticoagulant treatment in patients with ACS and de novo AF based on the data furnished by an implantable holter with remote monitoring is safer in terms of occurrence of hemorrhagic events than the systematic introduction of an anticoagulant treatment associated to DAPT based on the CHA2DS2-VASc score

研究设计

研究类型
Interventional

入排标准

年龄范围
18 years 至 65+ years(65+ Years, 18-64 Years)
接受健康志愿者

入选标准

  • Patients, aged ≥
  • Hospitalization for acute coronary syndrome with or without ST segment elevation
  • Atrial fibrillation present at the time of patient arrival at the hospital or occurring at any time during hospitalization. Patient without any prior known history of arrhythmia.
  • Chads2vas SCORE ≥ 1 for men and ≥ 2 for women
  • Ablation of atrial fibrillation before enrollment in the study. The atrial fibrillation ablation can be spontaneous or obtained by treatment
  • Coronary angioplasty with stenting should be done during the hospitalization

排除标准

  • Atrial fibrillation diagnosed before hospitalization for acute coronary syndrome, whether treated or not
  • Atrial fibrillation still present at inclusion time
  • Patient already on anticoagulant therapy
  • Creatinine clearance < 30 ml per minute
  • Contraindications to anticoagulant therapy
  • Active internal hemorrhage, clinically significant bleeding, bleeding non accessible to compression or bleeding diathesis within 30 days prior to selection visit

结局指标

主要结局

Occurrence during the 2 years of follow-up of a bleeding event defined by a score ≥2 according to the BARC scale

Occurrence during the 2 years of follow-up of a bleeding event defined by a score ≥2 according to the BARC scale

次要结局

  • Occurrence of an event defined by the MACCE indicator
  • Occurrence of an ischemic event defined by the following composite indicator: death from cardiovascular causes, stroke or systemic embolism, non-fatal infarction and need for revascularization

研究者

申办方类型
Hospital/Clinic/Other health care facility
责任方
Principal Investigator
主要研究者

Alice SERIS

Scientific

Centre Hospitalier De Pau

研究点 (15)

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