Atrial Fibrillation Clinical Trial
Official title:
Amiodarone Compared to Dronedarone , Post Cardioversion Maintenance of Sinus
Persistent Atrial Fibrillation (AF) is a common and distressing cardiac arrhythmia and
accounts for 1% of the healthcare budget in the UK and it's prevalence is rising. Symptoms
of atrial fibrillation include palpitations, chest pain , shortness of breath and fatigue,
with quality of life measures reduced for patients with persistent AF, increased stroke risk
and increased all cause mortality rates. DC Cardioversion is used to restore normal sinus
rhythm in patients with persistent AF. It has a high success rate but reoccurence of AF is
common. The use of anti arrhythmic drugs (AADs) can augment the number of patients remaining
in sinus rhythm at one year, with amiodarone currently the most superior. Unfortunately it
can have serious side affects. Dronedarone is a related drug designed specifically to
minimise the most serious side affects and is no approved and used prominently in the
management of non permanent AF. However it has not yet been studied in a post DC
Cardioversion population.
Patients in persistent AF who are referred for elective DC Cardioversionwill be randomised
to receive either Amiodarone or Dronedarone to compare the ability to help maintain sinu
rhythm post cardioverion in one NHS hospital. Patients will be followed up for a year post
cardioversion to see if they stay in sinus rhythm.
Ho: there will be no difference in maintenance of sinus rhythm with the use of amiodarone or
dronedarone
n/a
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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