Atrial Fibrillation Clinical Trial
Official title:
CliNIcal SCEnarios and Pathophysiological Features of Patients With Atrial Fibrillation: a Long Term Prospective Study (NICE-AF Study)
Atrial fibrillation (AF) remains the most common sustained cardiac arrhythmia with prevalence
and incidence continuously increasing worldwide. Current guidelines propose an etiological,
symptom-based classification of the arrhythmia and mainly focused on its duration with
consequent rhythm or rate-control strategies. Moreover, risk scores for atherothrombotic
systemic or hemorrhagic events related to atrial fibrillation are principally based on
patients cardiovascular history and risk factors.
This approach do not consider relevant pathophysiological aspects that may play a pivotal
role in triggering or perpetuating the arrhythmia, especially at its first occurrence. At
this point, a crucial step would be deeply investigating AF clinical and pathophysiological
features to guide a tailored diagnostical and therapeutic approach. Indeed, early recognition
and proper characterization of triggers, substrates, autonomic system imbalance and
modulating factors (drugs, electrolytes, etc) are of the utmost importance for AF care and
management.
Therefore, this large scale prospective observational study aims to evaluate clinical and
pathophysiological features of patients with symptomatic and asymptomatic atrial fibrillation
in different scenarios to understand possible distinctive characteristics warranting a
personalized approach to the arrhythmia.
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