Atrial Fibrillation Clinical Trial
Official title:
Atrial Fibrillation WITHOUT Hemodynamic Stability
Atrial fibrillation (AF) is an abnormal heart rhythm that is common among patients who are
admitted to an intensive care unit (ICU) of a hospital. It is usually a transient occurrence
that resolves as the patient recovers from their underlying condition. However, patients who
develop AF can present with a very rapid heart rate that in some cases can put stress on the
heart which can lead to life threatening heart attacks, low blood pressure or breathing
problems. Not all patients with AF will have unstable heart function but those who have
rapid heart rates can worsen quickly. The goals of treatment for AF with a rapid heart rate
but no unstable heart function are two fold. Patients can be treated by controlling the
heart rate and/or by attempting to convert the AF to a normal heart rhythm. The heart rate
can be controlled by medication and the AF can be converted by either electrical
cardioversion (an electric shock that jump-starts the heart) or medication. Currently it is
unknown if the goal of treatment should be to simply control the heart rate and wait for the
patient to spontaneously convert to a normal heart rhythm or convert the AF with medication
for patients who only have the rapid heart rate.
The objective of this project is to conduct a pilot study to determine if it would be
feasible to conduct a larger definitive trial that would answer the following question:
Should the goal of treatment be to control the rapid heart rate or resolve the abnormal
heart rhythm in patients with AF who have a rapid heart rate without unstable heart
function.
see above ;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator), Primary Purpose: Treatment
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