Atrial Fibrillation Clinical Trial
Official title:
Silent Atrial Fibrillation - Screening of High-risk Groups for Atrial Fibrillation (The Silence Study)
The primary aim of the present study is to screen high-risk type 2 diabetes patients and
heart failure patients without any history of atrial fibrillation (AF), ongoing oral
anticoagulation (OAC) treatment, implanted device or recent stroke/Transient Ischemic Attack
(TIA), for silent AF.
Moreover, we aim to establish the prevalence of two or more risk factors for stroke in
patients with heart failure and diabetes mellitus type 2 (DM2) with the aim of assessing the
feasibility for this group to undergo AF screening.
Overall, the aim of the study is to prevent stroke in high-risk patients groups through
identification of silent (asymptomatic) atrial fibrillation.
Status | Recruiting |
Enrollment | 1622 |
Est. completion date | September 2020 |
Est. primary completion date | September 2018 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 65 Years and older |
Eligibility |
Inclusion Criteria: - Systolic Congestive Heart Failure diagnosed by echocardiography showing a left ventricular ejection fraction (LVEF) = 40%. - Diagnosed Diabetes Mellitus type II. - Age 65 years or older - CHADS-Vasc (Risk score) 2 or higher Exclusion Criteria: - Previous history of AF - Ongoing OAC treatment - Implanted device - Recent stroke/TIA |
Observational Model: Cohort, Time Perspective: Prospective
Country | Name | City | State |
---|---|---|---|
Austria | Department of Cardiology, Krankenhaus der Elisabethinen | Linz | |
Austria | Kepler Universitätsklinikum GmbH | Linz | |
Austria | Krankenhaus der Barmherzigen Brüder Linz | Linz | |
Denmark | Hvidovre University Hospital, Department of cardiology | Hvidovre | |
Sweden | Bjurholms Hälsocentral | Bjurholm | |
Sweden | Grytnäs Hälsocentral | Kalix | |
Sweden | The Karolinske Institute, Department of Cardiology, Danderyd Hospital | Stockholm | |
Sweden | Ålidhems Hälsocentral | Umea | |
Sweden | Vindelns Hälsocentral | Vindeln |
Lead Sponsor | Collaborator |
---|---|
Hvidovre University Hospital |
Austria, Denmark, Sweden,
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* Note: There are 22 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Number of participants with silent atrial fibrillation as assessed by handheld ECG measurements in high-risk heart failure patients. | 14 days | No | |
Primary | Number of participants with silent atrial fibrillation as assessed by handheld ECG measurements in high-risk type 2 diabetes patients. | 14 days | No | |
Secondary | Number of participants with supraventricular ectopic activity. | Supraventricular ectopic activity defined as three supraventricular premature beats or more as assessed by handheld ECG. | 14 days | No |
Secondary | Number of participants with micro-atrial fibrillation. | Micro-atrial fibrillation defined as atrial fibrillation shorter than 30 seconds or atrial runs longer than five supraventricular premature beats in a run as assessed by handheld ECG. | 14 days | No |
Secondary | Number of participants with high risk of stroke in a heart failure population. | High risk patients defined as patients aged 65 years or older and at least one additional risk score point without known atrial fibrillation or ongoing oral anticoagulation. | 2 years | No |
Secondary | Number of participants with high risk of stroke in a type 2 diabetes population. | High risk patients defined as patients aged 65 years or older and at least one additional risk score point without known atrial fibrillation or ongoing oral anticoagulation. | 2 years | No |
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