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Atrial Fibrillation clinical trials

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NCT ID: NCT00486915 Completed - Atrial Fibrillation Clinical Trials

Impact of Left Atrial Appendage Exclusion on Short-Term Clinical Outcomes and Long-Term Stroke Incidence

Start date: April 2007
Phase: N/A
Study type: Interventional

Stroke is a major cause of morbidity in western society, and an infrequent complication of cardiac surgery. The majority of thromboembolic strokes arise from the left atrium, in particular the left atrial appendage. This study aims to assess the short-term effects of left atrial appendage ligation in terms of postoperative clinical and biochemical parameters; and the long-term effects of left atrial appendage ligation in terms of stroke incidence.

NCT ID: NCT00484575 Completed - Atrial Fibrillation Clinical Trials

Inhaled Sevoflurane Compared to Intravenous Sedation Post Coronary Artery Bypass Grafting

Start date: June 2007
Phase: Phase 1/Phase 2
Study type: Interventional

Inhaled sevoflurane during coronary artery bypass grafting (CABG) reduces postoperative Troponin levels and may be associated with improved outcome. A dose-response effect has been demonstrated by de Hert et al, with greatest reductions of Troponin when Sevoflurane was used during the entire operation, as compared to Sevoflurane during parts of the operation. Sevoflurane, as other inhaled anesthetic agents, is sedative in low doses. Postoperative sedation after CABG is currently achieved with intravenous propofol. A new simplified method of administration of isoflurane or sevoflurane has been developed and tested by members of the research group. The Anesthetic Conserving Device is a modified heat-moisture exchanger (HME) that permits direct infusion of sevoflurane to the airway, where it is vaporized in an evaporator rod in the device. The primary aim (and primary hypothesis)of the current trial is to examine if postoperative sedation with sevoflurane after CABG is associated with improved cardiac outcome, measured as reduced levels of Troponin, BNP and reduced incidence of cardiac events, such as atrial fibrillation, need for inotropic drugs and myocardial infarction, compared with conventional propofol sedation. Other end-points of the trial are potential renal (protective) effects measured with cystatin C levels, need for dialysis but also measurements of inorganic fluorides in serum, as well as environmental aspects of sevoflurane sedation in a Cardiothoracic Intensive Care Unit. Furthermore, potential differences in ICU memories and well-being during stay in the intensive Care Unit will be investigated via patient questionnaires. Besides routine blood sampling, plasma will be saved for later analysis of inflammatory mediators (biobank).

NCT ID: NCT00478933 Completed - Atrial Fibrillation Clinical Trials

DISCOVERY: Diagnostic Data and Genetic Polymorphisms in ICD Patients.

DISCOVERY
Start date: February 2007
Phase: N/A
Study type: Interventional

To prospectively evaluate if the analysis of genetic polymorphisms can be used to identify patients at risk of ventricular tachycardia. To evaluate the influence of ICD-based diagnostic information on the long term treatment and management of primary prevention ICD-patients.

NCT ID: NCT00471458 Completed - Clinical trials for Cardiovascular Diseases

Follow-up Study of the RAI-Treated Hyperthyroid Patients

Start date: January 1969
Phase: N/A
Study type: Observational

Previous studies of hyperthyroid patients suggest that they remain at increased risk of cardiovascular morbidity after restoring euthyroidism. The study objective is to compare the rate and causes of hospitalization of hyperthyroid patients treated with radioactive iodine (RAI) with those of an age- and gender-matched reference population in a long-term follow-up study.

NCT ID: NCT00469638 Completed - Atrial Fibrillation Clinical Trials

Efficacy and Safety Study on Agilis NxT Introducer in AF Patients

AGILIS
Start date: May 2007
Phase: N/A
Study type: Interventional

To prove if the success rate of curative treatment of atrial fibrillation in left atrial circumferential pulmonary vein ablation is higher by using a steerable transseptal introducer giving access to the left atrium then by using a conventionally introducer with fixed curve.

NCT ID: NCT00468767 Completed - Atrial Fibrillation Clinical Trials

Phase III Tolerance and Efficacy Study of RSD1235 in Patients With Atrial Fibrillation

ACT I
Start date: August 2003
Phase: Phase 3
Study type: Interventional

This study is being conducted to demonstrate the effectiveness of RSD1235 in the conversion of atrial fibrillation to sinus rhythm.

NCT ID: NCT00461903 Completed - Atrial Fibrillation Clinical Trials

Efficacy of Perindopril to Prevent Recurrence of Atrial Fibrillation in Patients With Essential Hypertension

CTAF-2
Start date: December 2007
Phase: Phase 3
Study type: Interventional

The purpose of this 7- to 13-month study is to determine the efficacy of 8 mg/day oral perindopril to prevent the recurrence of atrial fibrillation (AF) in patients with essential hypertension.

NCT ID: NCT00449410 Completed - Atrial Fibrillation Clinical Trials

Silent Cerebrovascular Lesion and Cognitive Decline Prevention by Cholesterol Lowering in Elderly AF Patients

SPACE
Start date: May 2005
Phase: Phase 4
Study type: Interventional

In elderly patients with atrial fibrillation (AF) the presence of silent brain infarcts and neurocognitive deficit is high despite adequate treatment with oral anticoagulation. Atherosclerosis is considered to be a chronic inflammatory disease and thrombosis and inflammation are strongly correlated. Atrial fibrillation is linked with increased levels of inflammatory markers and intensive cholesterol lowering has proven to reduce inflammation. In a prospective double-blind randomized pilot-study we want to test the hypothesis, that addition of intensive cholesterol lowering treatment besides adequate oral anticoagulation will reduce cerebrovascular lesions and will be beneficial for neurocognitive status in elderly AF patients.

NCT ID: NCT00448656 Completed - Atrial Fibrillation Clinical Trials

Treatment of Atrial Fibrillation by Minimal Invasive Surgery

ABOLISH-AF
Start date: June 2006
Phase: Phase 2
Study type: Interventional

The purpose of this study is to determine the feasability of a new epicardial and minimal invasive ablation technique of the left atrium isolating the pulmonary veins for prevention of atrial fibrillation recurrences in patients with antiarrhythmic drug refractory lone atrial fibrillation.

NCT ID: NCT00448214 Completed - Atrial Fibrillation Clinical Trials

Direct Factor Xa Inhibitor YM150 for Prevention of Stroke in Subjects With Non-Valvular Atrial Fibrillation

Start date: March 2007
Phase: Phase 2
Study type: Interventional

To evaluate the safety and tolerability of YM150 in subjects with non-valvular atrial fibrillation (NVAF)and to obtain information on pharmacokinetics and pharmacodynamics (anti-thrombotic potential) in the target population