Effect of Ischemic Preconditioning on Atrial Fibrillation After Electrocardioversion (PRECON-AF)
Primary Purpose
Atrial Fibrillation
Status
Recruiting
Phase
Not Applicable
Locations
Germany
Study Type
Interventional
Intervention
Remote ischemic preconditioning
Sham preconditioning
Sponsored by
About this trial
This is an interventional treatment trial for Atrial Fibrillation
Eligibility Criteria
Inclusion Criteria:
- Patients with paroxysmal or persistent atrial fibrillation who give written informed consent to participate in the study
- Age > 18 years
- Consent capacity
Exclusion Criteria:
- Age under 18 years
- Pregnancy
- Lack of consent capacity
Sites / Locations
- St. Josefs-Hospital WiesbadenRecruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Sham Comparator
Arm Label
Remote Ischemic Preconditioning
Control
Arm Description
Remote ischemic preconditioining
Sham preconditioning
Outcomes
Primary Outcome Measures
Number of subjects with recurrence of atrial fibrillation 30 days after electrical cardioversion
Secondary Outcome Measures
Minimum energy required for successful electrocardioversion (in Joule)
Cumulative energy applied for successfull electrocardioversion (in Joule)
Cumulative number of shocks delivered for successfull electrocardioversion
Number of patients with short-term cardioversion success
Sinus rhythm after electrocardioversion
Full Information
NCT ID
NCT05342220
First Posted
April 6, 2022
Last Updated
June 17, 2022
Sponsor
St. Josefs-Hospital Wiesbaden GmbH
1. Study Identification
Unique Protocol Identification Number
NCT05342220
Brief Title
Effect of Ischemic Preconditioning on Atrial Fibrillation After Electrocardioversion
Acronym
PRECON-AF
Official Title
Effect of Ischemic Preconditioning on Relapse of Nonvalvular Atrial Fibrillation After Electrocardioversion
Study Type
Interventional
2. Study Status
Record Verification Date
June 2022
Overall Recruitment Status
Recruiting
Study Start Date
April 1, 2022 (Actual)
Primary Completion Date
December 31, 2023 (Anticipated)
Study Completion Date
December 31, 2023 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
St. Josefs-Hospital Wiesbaden GmbH
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
Remote ischemic preconditioning is one way to influence the success of therapy in cardiovascular patients. By means of remote ischemic preconditioning the incidence of atrial fibrillation after cardiac surgery was reduced by 54%. The investigators aim to investigate the effect of ischemic preconditioning in an easy-to-perform protocol with regard to the recurrence of atrial fibrillation after electrical cardioversion.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atrial Fibrillation
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
240 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Remote Ischemic Preconditioning
Arm Type
Active Comparator
Arm Description
Remote ischemic preconditioining
Arm Title
Control
Arm Type
Sham Comparator
Arm Description
Sham preconditioning
Intervention Type
Procedure
Intervention Name(s)
Remote ischemic preconditioning
Intervention Description
Remote ischemic preconditioning through inflation of a blood pressure cuff to systolic blood pressure values > 200mmHg for 5 minutes (3 times) each before electrocardioversion Electrical cardioversion for atrial fibrillation (100, 150, 200 Joule)
Intervention Type
Procedure
Intervention Name(s)
Sham preconditioning
Intervention Description
Inflation of a blood pressure cuff to systolic blood pressure values ~ 20mmHg for 5 minutes (3 times) each before electrocardioversion
Primary Outcome Measure Information:
Title
Number of subjects with recurrence of atrial fibrillation 30 days after electrical cardioversion
Time Frame
30 days
Secondary Outcome Measure Information:
Title
Minimum energy required for successful electrocardioversion (in Joule)
Time Frame
30 days
Title
Cumulative energy applied for successfull electrocardioversion (in Joule)
Time Frame
30 days
Title
Cumulative number of shocks delivered for successfull electrocardioversion
Time Frame
30 days
Title
Number of patients with short-term cardioversion success
Description
Sinus rhythm after electrocardioversion
Time Frame
30 minutes
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
99 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patients with paroxysmal or persistent atrial fibrillation who give written informed consent to participate in the study
Age > 18 years
Consent capacity
Exclusion Criteria:
Age under 18 years
Pregnancy
Lack of consent capacity
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Joachim R Ehrlich, MD
Phone
+496111771201
Email
jehrlich@joho.de
First Name & Middle Initial & Last Name or Official Title & Degree
Andreas Boehmer, MD
Phone
+496111771201
Email
aboehmer@joho.de
Facility Information:
Facility Name
St. Josefs-Hospital Wiesbaden
City
Wiesbaden
State/Province
Hessen
ZIP/Postal Code
65189
Country
Germany
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Joachim R Ehrlich, MD
Phone
+496111771201
Email
jehrlich@joho.de
12. IPD Sharing Statement
Learn more about this trial
Effect of Ischemic Preconditioning on Atrial Fibrillation After Electrocardioversion
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