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Atrial Fibrillation clinical trials

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NCT ID: NCT00321945 Completed - Atrial Fibrillation Clinical Trials

A Retrospective Analysis of the Use of ACE-inhibitors and Angiotensin Receptor Blockers

Start date: December 2005
Phase: Phase 2
Study type: Observational

It is well known that atrial fibrillation (AF) and atrial flutter occur frequently after most types of cardiac surgeries.(1-4) Postoperative AF is associated with significant morbidity, longer hospital stay, and higher related costs. Currently, it is common procedure to premedicate patients with antiarrhythmic drugs for elective cardiac surgeries. Treatments such as beta blockers, Amiodarone, and electrical pacing are used to help prevent the morbidity associated with pot-operative AF.(5) Renin-angiotensin system (RAS) activation may contribute to AF. Several clinical trials have suggested that inhibitors of this system may reduce the incidence of AF.(6-12) Patients with AF are known to have increased levels of angiotensin converting enzyme (ACE) and some types of angiotensin receptors.(13-15) Data from animal studies performed by our group suggest that cardiac ACE overexpression may lead to arrhythmic ion channel changes.(16;17) Although not studied in this group yet, it would be reasonable to conclude that the use of ACE inhibitors and angiotensin receptor blockers (ARBs) would decrease the incidence of AF in post-operative patients, too

NCT ID: NCT00321802 Completed - Atrial Fibrillation Clinical Trials

Paroxysmal Atrial Fibrillation: Role of Inflammation, Oxidative Stress Injury and Effect of Statins

PAFRIOSIES
Start date: April 2006
Phase: Phase 2
Study type: Interventional

The purpose of this study is to determine the effect of statin therapy for prevention of atrial fibrillation (AF) in pacemaker and non-pacemaker patients with paroxysmal atrial fibrillation in the absence of significant coronary artery disease.

NCT ID: NCT00313443 Completed - Atrial Fibrillation Clinical Trials

Concentrations of Amiodarone in Fat Tissue During Chronic Treatment

ATACA
Start date: April 2006
Phase: Phase 4
Study type: Interventional

The objective of this study is to determine if concentrations of amiodarone in fat tissue increases constantly over time during chronic treatment with this drug, and if blood concentrations reflect accurately the concentrations in fat tissue or not. This is because excessive concentrations of this drug in tissues can produce adverse effects.

NCT ID: NCT00313157 Completed - Atrial Fibrillation Clinical Trials

RATe Control in Atrial Fibrillation

RATAF
Start date: April 2006
Phase: Phase 3
Study type: Interventional

The purpose of this study is to compare the effect of metoprolol, verapamil, diltiazem and carvedilol on ventricular rate, working capacity and quality of life in patients with chronic atrial fibrillation.

NCT ID: NCT00293943 Completed - Atrial Fibrillation Clinical Trials

Randomized Trial of Two Different Strategies to Treat Paroxysmal Atrial Fibrillation

Start date: February 2006
Phase: N/A
Study type: Interventional

The purpose of this study is to investigate the significance of complete versus incomplete electrical isolation of pulmonary veins by radiofrequency-induced linear lesions in patients with paroxysmal atrial fibrillation. The study hypothesis ist that the complete linear PV isolation ablation is superior to the non-complete linear PV isolation on the outcome of patients with idiopathic drug-refractory atrial fibrillation. As a second hypothesis in this adaptive study design, the non-inferiority of the complete linear PV isolation strategy will be tested.

NCT ID: NCT00292539 Completed - Atrial Fibrillation Clinical Trials

Prospective Registry of Pacemaker Patients Concerning Percentage of Right Ventricular Pacing, LVEF and NYHA Class

Start date: February 2006
Phase: N/A
Study type: Observational

This registry is a data collection on patients who are implanted for more than 6 months with a pacemaker. Frequency and distribution of right ventricular pacing, NYHA class and left ventricular ejection fraction shall be documented.

NCT ID: NCT00292162 Completed - Atrial Fibrillation Clinical Trials

Curing Atrial Fibrillation in Heart Failure

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

Heart failure is a condition that occurs when the heart muscle weakens and no longer contracts normally. Half of these patients have an irregularity of heart rhythm called atrial fibrillation (AF). Patients with both heart failure and AF spend more time in hospital, and die earlier than those with heart failure alone. AF is difficult to treat with conventional methods in patients with heart failure. Radiofrequency ablation is a new technique used to cure AF. The investigators aim to establish if radiofrequency ablation for atrial fibrillation in patients with advanced heart failure can result in marked improvement in the function of the heart.

NCT ID: NCT00289367 Completed - Atrial Fibrillation Clinical Trials

Study of T3 on the Incidence of Atrial Fibrillation in Patients Undergoing Cardiac Surgery

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

The purpose of this project is to see whether treatment with a thyroid hormone, called triiodothyronine or T3, following open heart surgery reduces the risk of developing atrial fibrillation.

NCT ID: NCT00289289 Completed - Atrial Fibrillation Clinical Trials

Reducing Episodes by Septal Pacing Efficacy Confirmation Trial (RESPECT)

Start date: February 2004
Phase: N/A
Study type: Interventional

The purpose of this study is to find out if specialized programs in the AT500 and EnRhythm pacemakers will reduce the number of irregular heartbeat in the upper chamber of the heart and reduce symptoms (such as shortness of breath, dizziness, and others).

NCT ID: NCT00289042 Completed - Atrial Fibrillation Clinical Trials

Assessment of Cardioversion Using Transesophageal Echocardiography II (ACUTE II)

Start date: December 1999
Phase: Phase 4
Study type: Interventional

SPECIFIC AIM: To test the safety and feasibility of using low molecular weight heparin (LMWH, enoxaparin sodium; Lovenox, Sanofi-Aventis) in lieu of unfractionated heparin (UFH) as antithrombotic therapy for patients in atrial fibrillation undergoing transesophageal echocardiography (TEE) guided chemical or electrical cardioversion to sinus rhythm. HYPOTHESIS: Early cardioversion from atrial fibrillation can be safely performed using a short-term anticoagulation strategy of low molecular weight heparin (Lovenox, Sanofi-Aventis) compared to unfractionated heparin, accompanied by a TEE examination prior to cardioversion. The use of LMWH with TEE will result in a safe, cost-effective, and possible efficacious approach to cardioversion of atrial fibrillation compared to UFH with TEE.