recent-onset atrial fibrillation MedDRA version: 13.1 Level: LLT Classification code 10034039 Term: Paroxysmal atrial fibrillation System Organ Class: 10007541 - Cardiac disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Symptoms of atrial fibrillation since no longer than 48 hours • Age 18 – 90 years Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 50 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 50
Exclusion criteria
Exclusion criteria: • Need for immediate electrical cardioversion due to hemodynamic instability (hypotension: systolic blood pressure 440 milliseconds • Wolff–Parkinson–White (WPW) syndrome • History of Torsade de pointes arrhythmias or other polymorphic ventricular tachycardias • Signs of thyreotoxicosis • Sick Sinus Syndrome or atrioventricular block greater than first degree • Severe valvular heart disease • Serious disorders of the hepatic, renal (Creatinine > 2.5mg/dl), pulmonary, gastrointestinal, hematologic or central nervous system and serious psychiatric disorders • Abnormal serum electrolytes despite adequate therapy (especially potassium 5.5 mmol/l) • Intravenous use of other Class I or III antiarrythmic drugs within 4 hours of study drug application • Pregnancy (for women < 50 years, ß-HCG test will be performed) • Known hypersensitivity to study medication
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: to compare the time duration and the efficacy of cardioversion between the two rapid-acting antiarrhythmic drugs vernakalant and ibutilide in patients with recent-onset atrial fibrillation admitted to the emergency medicine ward of a tertiary care hospital.;Secondary Objective: to compare conversion to sinus rhythm rates within 90 minutes between subjects treated with vernakalant and ibutilide. to compare conversion to sinus rhythm rates including electrical cardioversion between subjects treated with vernakalant and ibutilide. ;Primary end point(s): Time in minutes until conversion to sinus rhythm;Timepoint(s) of evaluation of this end point: n.a. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Conversion rate to sinus rhythm within 90 minutes Conversion rate to sinus rhythm including electrical cardioversion;Timepoint(s) of evaluation of this end point: 90 minutes | — |
Countries
Austria
Contacts
Medical University of Vienna, Department of Emergency Medicine