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| Name | Class |
|---|---|
| Biosense Webster, Inc. | INDUSTRY |
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The objective is to compare the progression of Atrial Fib (AF) burden by continuous monitoring in patients with recently diagnosed paroxysmal AF treated by catheter ablation (PVI) versus anti-arrhythmic drug (AAD) therapy.
Randomized, multicenter clinical trial comparing medical therapy (Group I) with ablation therapy(Group II). Randomization will be determined by opening a sealed envelope. All patients will be implanted with an implantable loop recorder and followed every three months.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Antiarrhythmic drug | Active Comparator | Class I or III antiarrhythmic drug |
|
| Catheter ablation | Experimental | Pulmonary vein isolation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Antiarrhythmic drug | Drug | propafenone, flecainide, sotalol, dofetilide |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of AF burden | The percentage of AF burden defined through continuous monitoring using an implnatage loop recorder (ILR) | 4 months |
| Measure | Description | Time Frame |
|---|---|---|
| All-death death | All-cause death, thromboembolic events, hospitalizations, procedural complications, drug adverse effects, and number of crossovers | 4 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jonathan Steinberg, MD | Valley Health System | Principal Investigator |
| Evegny Pokushalou, MD | State Resarch Institute of Circulation Pathology, Novosibirsk, Siberia | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Valley Health System | Ridgewood | New Jersey | 07450 | United States | ||
| State Research Institute of Circulation Pathology |
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| ID | Term |
|---|---|
| D001281 | Atrial Fibrillation |
| ID | Term |
|---|---|
| D001145 | Arrhythmias, Cardiac |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D010335 | Pathologic Processes |
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| ID | Term |
|---|---|
| D000889 | Anti-Arrhythmia Agents |
| D005424 | Flecainide |
| D013015 | Sotalol |
| C063533 | dofetilide |
| D017115 | Catheter Ablation |
| ID | Term |
|---|---|
| D002317 | Cardiovascular Agents |
| D045506 | Therapeutic Uses |
| D020228 | Pharmacologic Actions |
| D020164 | Chemical Actions and Uses |
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| Catheter ablation | Procedure | Complete PVI |
|
|
| Novosibirsk |
| Russia |
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D010880 |
| Piperidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D004983 | Ethanolamines |
| D000605 | Amino Alcohols |
| D000438 | Alcohols |
| D009930 | Organic Chemicals |
| D000588 | Amines |
| D000078703 | Radiofrequency Ablation |
| D000078702 | Radiofrequency Therapy |
| D013812 | Therapeutics |
| D055011 | Ablation Techniques |
| D013514 | Surgical Procedures, Operative |