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Usefulness of Markers to Predict Recurrence of Atrial Fibrillation After Radiofrequency Catheter Ablation

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00315068
Recruitment Status : Unknown
Verified April 2007 by University Hospital, Geneva.
Recruitment status was:  Active, not recruiting
First Posted : April 17, 2006
Last Update Posted : April 20, 2007
Information provided by:
University Hospital, Geneva

Brief Summary:

Catheter ablation using radiofrequency is a new therapeutic tool to treat atrial fibrillation with a higher success rate than medical therapy (80% versus less than 50% respectively). Because of the length of the intervention and of the risk of complications of the procedure, it would be important to determine success rate before the intervention. The information gained from this study will in all probability improve our estimation of the chances of a successful intervention and may enable us to take necessary therapeutic measures in case of an elevated risk of recurrence.

Multiple studies suggest that the 2 markers in this study could provide information of this nature, however, their utility in the radiofrequency catheter ablation treatment of atrial fibrillation has never been demonstrated.

Condition or disease
Atrial Fibrillation

Detailed Description:

Catheter ablation of atrial fibrillation is a recent therapeutic tool to treat atrial fibrillation. The success rate of eliminating atrial fibrillation by radiofrequency catheter ablation is 80 %, after one or sometimes two procedures, against 20-50 % with drug treatment.

This intervention may be complicated by : hematoma at the puncture site - 1 % incidence; thromboembolic events < 1 % incidence; cardiac perforation with tamponade < 1 %, pulmonary vein stenosis 2 % incidence.

The aim of this study is to evaluate blood tests of biological products (NT-proBNP and CRP) as markers of prognosis and success after radiofrequency catheter ablation for atrial fibrillation.

Previous studies demonstrated the prognostic value of NT-proBNP and CRP in the recurrence of atrial fibrillation after electrical cardioversion. However the prognostic value of these biomarkers was never demonstrated in the setting of radiofrequency catheter ablation of atrial fibrillation.

This is an observation study including 180 patients with the indication of catheter ablation for atrial fibrillation. Confounding factors of increased NT-proBNP will be assessed with echocardiographic imaging.

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Study Type : Observational
Enrollment : 180 participants
Observational Model: Defined Population
Time Perspective: Prospective
Official Title: The Value of Amino-Terminal Brain Natriuretic Peptide and C-Reactive Protein Serum Levels for Predicting Recurrence of Atrial Fibrillation and/or Atrial Flutter After Radiofrequency Catheter Ablation
Study Start Date : April 2004
Estimated Study Completion Date : August 2007

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Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 80 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • atrial fibrillation
  • indication for catheter ablation of atrial fibrillation

Exclusion Criteria:

  • significant valvulopathy
  • previous catheter ablation for atrial fibrillation or atrial flutter
  • left ventricular ejection fraction < 30%
  • Severe heart failure (NYHA IV)
  • Severe enlargement of left atrium (> 55mm)

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00315068

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Cardiology Division University Hospital
Geneva, Switzerland, 1211
Sponsors and Collaborators
University Hospital, Geneva
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Principal Investigator: Pierre-Frederic Keller, MD Cardiology Division University Hospital
Layout table for additonal information Identifier: NCT00315068    
Other Study ID Numbers: PRD-03-I-03
First Posted: April 17, 2006    Key Record Dates
Last Update Posted: April 20, 2007
Last Verified: April 2007
Keywords provided by University Hospital, Geneva:
atrial fibrillation
Additional relevant MeSH terms:
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Atrial Fibrillation
Arrhythmias, Cardiac
Heart Diseases
Cardiovascular Diseases
Pathologic Processes
Disease Attributes