Rhythm control of AF in patients with acute stroke

Yonsei University Health System, Severance Hospital0 个研究点目标入组 300 人开始时间: 待定最近更新: 2019年10月7日

适应症

试验速览

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•1. Atrial fibrillation patients aged 20 to 80
•2. Acute cerebral infarction or transient ischemic attack, which is estimated to be cardiac embolism within seven days of the stroke.
•3. Left atrium size of an atrial fibrillation patient < 55mm
•4. Patients capable of anticoagulation and antiarrhythmic drugs
•5. NIHSS(National Institutes of Health Stroke Scale) score = 12 and the neurological condition is capable of outpatient follow up.

•1. Patient with significant hemorrhagic transformation
•2. cerebral hemispheres infarction or cerebellum infarction patient(The size of cerebral infarction is more than 1/3 of the MCA(middle cerebral artery), 1/2 of the ACA(anterior cerebral artery), 1/2 of the PCA(posterior cerebral artery), and 1/2 of the cerebellum)
•3. patient with active internal bleeding
•4. Impossible to anticoagulation or antiarrhythmic drug
•5. valvular atrial fibrillation (Mitral stenosis > grade II, Mechanical valve, Mitral valve replacement)
•6. LVEF(left ventricular ejection fraction ) < 30%
•7. Structural heart disease requiring surgical correction
•8. The patients who had been performed catheter ablation of atrial fibrillation or heart surgery
•9. Patients who are already on antiarrhythmic drug for rhythm control
•10. Patients with severe medical disease
•11. Expected survival < 1 year
•12. Patients with invasive surgery or surgery scheduled
•13. Severe alcoholics, drug addiction
•14. A patient against MRI(magnetic resonance imaging) scanning
•15. pregnancy
•16. A patient participating in another study
•17. Patients judged to be unfit for clinical trial by researchers' judgment

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