Status:

COMPLETED

APAF: Assessment of Cardiac Resynchronization Therapy in Patients With Permanent Atrial Fibrillation

Lead Sponsor:

Azienda USL Reggio Emilia - IRCCS

Collaborating Sponsors:

Medtronic

Conditions:

Congestive Heart Failure

Atrial Fibrillation

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

A suboptimal level of resynchronization (cardiac resynchronization therapy \[CRT\]) achieved in many patients with actual standards and techniques based on tissue-Doppler echocardiography could be mor...

Detailed Description

Background: Cardiac resynchronization therapy (CRT) in patients in atrial fibrillation (AF) seems to provide modest favorable effect compared with RV pacing. In the Optimal Pacing SITE (OPSITE) trial ...

Eligibility Criteria

Inclusion

  • Patients with permanent AF in whom a clinical decision had been made to undertake complete AV junction ablation and ventricular pacing because of drug-refractory, severely symptomatic, uncontrolled high ventricular rate
  • Patients with permanent AF, drug-refractory heart failure, depressed LV function in whom a clinical decision had been made to undertake left ventricular synchronization pacing

Exclusion

  • New York Heart Association class IV heart failure, or systolic blood pressure ≥80 mmHg
  • Severe concomitant non cardiac disease
  • Need for surgical intervention
  • Myocardial infarction within 3 months
  • Primary hypertrophic cardiomyopathy
  • Arrhythmogenic right ventricular dysplasia
  • Primary valvular heart disease
  • Sustained ventricular tachycardia or ventricular fibrillation
  • Previously implanted pacemaker
  • Inability to obtain reliable RV and LV pacing and persistent AV block

Key Trial Info

Start Date :

May 1 2005

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

March 1 2010

Estimated Enrollment :

458 Patients enrolled

Trial Details

Trial ID

NCT00111527

Start Date

May 1 2005

End Date

March 1 2010

Last Update

June 12 2025

Active Locations (2)

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Page 1 of 1 (2 locations)

1

Michele Brignole

Lavagna, Genova, Italy, 16033

2

Arcispedale S Maria Nuova

Reggio Emilia, Reggio Emilia, Italy, 42100