atrial fibrillation/flutter and bioprosthetic heart valves
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Male and female patients aged >18 years at time of inclusion; 2. Patients with Persistent or Paroxysmal Atrial Fibrillation or flutter with bioprosthetic valves; 3. CHA2DS2-VAS>=1 in men or CHA2DS2-VAS>=2 in women; 4. The patient must be able to give informed consent.
Exclusion criteria
Exclusion criteria: 1. Contraindications for anticoagulant therapy; 2. Ischemic stroke within one month; 3. History of hemorrhagic stroke; 4. Active hepatopathy or known significant liver disease or alanine aminotransferase N3× the upper limit of normal; 5. Severe renal dysfunction(Creatinine clearance <15ml/min) 6. Thrombolytic therapy within 48 hours prior to randomization; 7. Cardiac shock; 8. Major bleeding or active bleeding within one month; 9. History of hemorrhagic disorders; 10. Anemia(hemoglobin<10g/dl or platelet<100x10^9); 11. Pregnancy or breastfeeding or women of reproductive age not using effective contraceptive methods; 12. Life expectancy less than one year; 13. Participation in other ongoing study; 14. Difficulty in completing one-year follow-up; 15. Plans for radiofrequency ablation to remove atrial fibrillation; 16. Other conditions that investigators found not eligible for this trial; 17. Refusal to sign informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| safety end point(includes all bleeding events during 12-month follow-up, including major bleeding,intracranial bleeding,clinically relevant non-major bleeding); | — |
Secondary
| Measure | Time frame |
|---|---|
| effectiveness end point(includes stroke and non-central nervous system systemic embolism during 12-month follow-up); | — |
Countries
China
Contacts
Fuwai Hospital, Chinese Academy of Medical Sciences