Atrial Fibrillation Clinical Trial
— ARIESOfficial title:
Atrial Imaging and Cardiac Rhythm In Embolic Stroke. Atrial Fibrilation, Parafibrillatory Electrocardiographic Patterns and Advanced Echocardiography for Left Atrial Evaluation in Cryptogenic Stroke.
The ARIES study is an observational study in which patients with a recent acute ischemic stroke of cryptogenic aetiology are consecutively enrolled in order to perform a extensive cardiologic work-up. The main objective is to study parameters that could predict arrythmias on prolonged monitoring and also echocardiographic parameters of left atrial disfunction that could predict the presence of a hidden atrial fibrilation and recurrent ischemic events in patients with cryptogenic stroke.
Status | Recruiting |
Enrollment | 150 |
Est. completion date | December 31, 2022 |
Est. primary completion date | December 31, 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 50 Years and older |
Eligibility | Inclusion Criteria: - Patients addmitted to the Neurology service at La Paz University Hospital with a recent diagnosis of cryptogenic stroke considered non-lacunar and where no other reasonable diagnosis is suspected. - Signed informed consent. Exclusion Criteria: - Presence of large vessel atheromatosis with >50% estenosis, or <50% but with two or more vascular risk factors (age > 50 years old, hipertension, diabetes mellitus, dyslipidemia, smoker). - Patients with a un favorable clinical situation or dependance who will not benefit from the study or those that could not fullfill study visits and procedures. - Patients in which an embolic arrythmia has already been demonstrated |
Country | Name | City | State |
---|---|---|---|
Spain | La Paz University Hospital | Madrid |
Lead Sponsor | Collaborator |
---|---|
Instituto de Investigación Hospital Universitario La Paz | Hospital Universitario La Paz, Proyecto Ictus- Grupo Estudio Enfermedades CerebroVasculares de la Sociedad Española de Neurología |
Spain,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Analyze frequency of parafibrilatory status in cryptogenic stroke patients | Analyze the frequency of parafibrilatory status defined as > 3000 atrial ectopic beats per day or more or >2 "micro-AF" episodes per day (fibrillatory burst <30 seconds without a monomorphic P wave ) on 30 day ECG monitoring | 30 days | |
Primary | Analyze frequency of ecocardiographic parameters of atrial disfunction | Dimensions and function of left atrium, telesystolic volume, left auricular ejection fraction, atrial longitudinal strain in 3 phases (reservoir, conduict, contractile) | During hospitalization | |
Primary | Frequency of detection of atrial fibrilation | Frequency of detection of atrial fibrilation lasting for more than 30 seconds on two 30 day ECG monitoring. | 60 days | |
Primary | Correlation of parafibrilatory state and echocardiographic parameters of atrial disfunction with the probability of detection of atrial fibrilation. | Correlation of parafibrilatory state and echocardiographic parameters of atrial disfunction with the probability of detection of atrial fibrilation of more than 30 seconds of duration in 30-day ECG monitoring. | 30 days | |
Primary | Correlation of parafibrilatory state and echocardiographic parameters of atrial disfunction with the probability of stroke recurrence. | Correlation of parafibrilatory state and echocardiographic parameters of atrial disfunction with the probability of stroke recurrence in patients without documented atrial fibrilation. | At 3 months and 1 year. |
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