Atrial fibrillation and venous thromboembolism Circulatory System Atrial fibrillation and venous thromboembolism
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients with a new diagnosis of AF and those with persistent or paroxysmal AF, whether they are on anticoagulation or not 2. Patients with confirmed venous thromboembolic disease 3. Admitted under a medical team to Cambridge University Hospitals
Exclusion criteria
Exclusion criteria: 1. No clear confirmation of the presence of atrial fibrillation in medical notes or ECG (for AF patients) 2. No confirmed venous thromboembolic disease on any imaging modality (only for those with suspected VTE) 3. Age less than 18 years 4. Pregnancy 5. Active and known malignancy 6. Known platelet disorder 7. Known HIV/AIDS 8. Known hepatitis B or hepatitis C infection 9. Admitted with a transient ischaemic attack or stroke – ischaemic or haemorrhagic 10.Patients who lack capacity
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Measuring platelet glycoprotein VI dimer levels from blood taken when patients are admitted to hospital with atrial fibrillation or venous thromboembolism, as measured by mean fluorescence on flow cytometry | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Measure the correlation between glycoprotein VI dimer mean florescence intensity on flow cytometry with levels of known common blood biomarkers for atrial fibrillation, coagulation and stroke (d-dimer, hs-CRP, BNP) 2. Measure the correlation between glycoprotein VI dimer levels as measured by mean fluorescence on flow cytometry and estimated risk of stroke as stratified by the CHADS2-VASC2 score calculated at the time of participant involvement 3. Determine the genetic basis for atrial fibrillation and venous thromboembolism and a therefore look for a genetic basis for possible pre-disposition to stroke | — |
Countries
England, United Kingdom