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Atrial Fibrillation clinical trials

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NCT ID: NCT00774566 Completed - Atrial Fibrillation Clinical Trials

PV-Isolation With the Cryoballoon Versus RF:a Randomized Controlled Prospective Non-inferiority Trial (FreezeAF)

FreezeAF
Start date: October 2008
Phase: Phase 4
Study type: Interventional

This study is designed as a randomized, controlled, prospective, non-inferiority clinical trial, where the efficacy and safety of the cryoballoon ablation system (CE certificated) will be compared to the standard ablation technique (segmental isolation of the pulmonary veins) with radiofrequency energy. The primary study aim is to investigate whether the new cryoballoon ablation catheter system (Arctic Front CryoAblation Catheters, FlexCath Steerable Sheath, CryoCath Technologies Inc., Montreal, Canada) is at least as effective as radiofrequency (RF) segmental isolation in electrically disconnecting the pulmonary veins (PV) for the treatment of paroxysmal atrial fibrillation (AF) with respect to the absence of atrial arrhythmias without persistent complications after six and twelve months. Furthermore, the differences in terms of procedural complications such as pulmonary vein stenosis, phrenic nerve injuries, cerebrovascular accidents (CVA), pericardial tamponade, pain scores during the procedure, levels of cardiac inflammatory markers are compared between the treatment groups. The short and long-term clinical success as well as the costs of both systems will also be evaluated.

NCT ID: NCT00769938 Completed - Atrial Fibrillation Clinical Trials

WOEST ( What is the Optimal antiplatElet & Anticoagulant Therapy in Patients With Oral Anticoagulation and Coronary StenTing)

WOEST
Start date: December 2008
Phase: Phase 4
Study type: Interventional

The study will assess the hypothesis that the combination warfarin & clopidogrel 75 mg/day is superior to triple therapy (warfarin + clopidogrel 75mg/day + aspirin 80mg/day) with respect to bleeding complications while equally safe with respect to the prevention of thrombotic complications in patients with both indications for warfarin use and dual antiplatelet (clopidogrel 75mg/day + aspirin 80mg/day) treatment.

NCT ID: NCT00765089 Completed - Clinical trials for Postoperative Atrial Fibrillation

Bipolar Radiofrequency Ablation -Role in Prevention of Postoperative Atrial Fibrillation

Start date: December 2005
Phase: Phase 4
Study type: Interventional

Atrial Fibrillation (AF) is one of the most common postoperative complications after coronary artery bypass grafting (CABG). Postoperative AF produces a substantial impact on hospital resources with an estimated annual expenditure of over $1 billion. This includes the cost of pharmacological treatment and the cost of the increased length of stay. The incidence of AF is about 30-40% in CABG patients and increases with age of the patient. As the average age of the patient that undergoes CABG surgery is increasing, it is critical to find a way to prevent or reduce the incidence of this complication. We propose a prospective, randomized, controlled study to determine the role of pulmonary vein isolation by bipolar ablation in the prevention or reduction of postoperative AF. The block- randomization plan will be used to maintain balance of the study and control arms throughout the study.

NCT ID: NCT00756886 Completed - Arrhythmia Clinical Trials

Does Atorvastatin Prevent Post Operative Atrial Fibrillation After Pulmonary Resection: A Randomized Clinical Study

Start date: September 2008
Phase: N/A
Study type: Interventional

The purpose of this study is to determine if atorvastatin (Lipitor) reduces the occurence of abnormal heart rhythm (atrial arrhythmia) following non cardiac thoracic surgery.

NCT ID: NCT00753259 Completed - Atrial Fibrillation Clinical Trials

Atrial Fibrillation (AF) Clinic to Improve the Treatment of Patients With Atrial Fibrillation.

AFClinic
Start date: June 2006
Phase: N/A
Study type: Interventional

- Randomized controlled trial comparing specialized AF Clinic with 'care as usual' - Hypothesis: treatment of AF patients in the AF-Clinic by a nurse, specialised in AF, using guideline-based dedicated software, under supervision of a cardiologist, is efficient, safe and not inferior to care as usual by a cardiologists.

NCT ID: NCT00745706 Completed - Atrial Fibrillation Clinical Trials

Discerning Symptomatic and Asymptomatic Episodes Pre and Post Radiofrequency Ablation of Atrial Fibrillation

DISCERN-AF
Start date: September 2008
Phase: N/A
Study type: Interventional

Atrial Fibrillation (AF) is a common heart rhythm problem that can be eliminated by a radiofrequency ablation procedure. The purpose of this study is to assess the amount of AF that occurs before and after an ablation procedure associated with symptoms versus AF that is not associated with any symptoms. This study will confirm whether patients' symptoms or lack of symptoms post-ablation correlate well with actual episodes of Atrial Fibrillation. This is important information for physicians to know as it will help guide patient care post-ablation in the future. Information on patients' AF episodes will be collected by an implantable loop recorder (ILR) which will be implanted in all study patients 3 months prior to their AF ablation procedure. The ILR will automatically collect information on detected AF episodes while patients will records any symptoms related to AF episodes in study diaries.

NCT ID: NCT00744874 Completed - Clinical trials for Paroxysmal Atrial Fibrillation

Ablation of the Pulmonary Veins for Paroxysmal Afib

MAP-PAF
Start date: October 2007
Phase: Phase 4
Study type: Interventional

The purpose of this trial was to investigate and confirm the safety, efficacy, and efficiency of the Ablation Frontiers® Cardiac Ablation System when used in the treatment of paroxysmal atrial fibrillation. (PAF)

NCT ID: NCT00744835 Completed - Atrial Fibrillation Clinical Trials

Atrial Fibrillation Ablation Pilot Study

Start date: August 2006
Phase: Phase 1
Study type: Interventional

This is a prospective, non-randomized, multicenter, multi-country pilot study to evaluate the safety and effectiveness of the Ablation Frontiers Cardiac Ablation System for the ablative treatment of symptomatic permanent atrial fibrillation.

NCT ID: NCT00742859 Completed - Atrial Fibrillation Clinical Trials

Phase 2 Study of the Safety, Tolerability and Pilot Efficacy of Oral Factor Xa Inhibitor Betrixaban Compared to Warfarin

EXPLORE-Xa
Start date: October 2008
Phase: Phase 2
Study type: Interventional

Prevention of stroke in patients with atrial fibrillation (AF). Hypothesis: In patients with non-valvular AF, orally administered betrixaban will provide similar or better efficacy and safety than warfarin and it will offer the advantage of not requiring dose adjustments due to international normalized ratios (INRs) outside the target range of 2.0 to 3.0 and a more consistent level of anticoagulation over time.

NCT ID: NCT00729911 Completed - Heart Failure Clinical Trials

Ablation vs Amiodarone for Treatment of AFib in Patients With CHF and an ICD

Start date: October 2008
Phase: Phase 4
Study type: Interventional

1. To determine if catheter-based atrial fibrillation (AF) ablation is superior to Amiodarone treatment for symptomatic persistent/permanent AF in ICD/CRTD patients with an impaired left ventricular function. 2. Hypothesis: AF ablation is better than Amiodarone for subjects with symptomatic persistent or permanent AF and impaired LV function in terms of recurrence of AF, quality of life, 6-minute walk distance, EF and total number of hospitalizations.