persistent atrial fibrillation
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1 Patients with persistent atrial fibrillation during hospital visits who relapsed after 1st ablation 2 Patients who underwent only expanded pulmonary vein isolation in 1st ablation 3 Patients who are indicated for catheter ablation. (Japanese Circulation Society Arrhythmia Drug Treatment Guidelines (Revised 2018) 4 Patients whose age at the time of obtaining consent is 20 to 85 years old 5 Patients who can consent by themselves
Exclusion criteria
Exclusion criteria: 1 Patients who have difficulty in restoring sinus rhythm by cardioversion 2 Patients who do not agree to be the target of this case 3 Patients with persistent atrial fibrillation 4 Other patients who are not qualified by the attending physician
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 2) Total number of PACs PAC short run AT(1,3,6,12 months after surgery) 3) Change in resting heart rate from baseline (1,3,6,12 months after surgery) 4) Amount of change from baseline in the following biochemical tests (3,6,12 months after surgery) Triglyceride, LDL / HDL cholesterol, fatty acid 4 fraction, hemoglobin, hematocrit, cystatin C, renin, aldosterone, Brain natriuretic peptide, Atrial natriuretic peptide, NT-pro BNP 5) Amount of change from baseline in the following echocardiographic findings (3,12 months after surgery) Left ventricular ejection fraction (LVEF), presence or absence of MR (none, mild, moderate, severe), tricuspid regurgitation pressure gradient (none, mild, moderate, severe), left ventricular end diastolic diameter, left ventricular end systole diameter, Left ventricle diameter | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Total number of PACs PAC short run. AT(1,3,6,12 months after surgery) 2) Change in resting heart rate from baseline (1,3,6,12 months after surgery) 3) Amount of change from baseline in the following biochemical tests (3,6,12 months after surgery) Triglyceride, LDL / HDL cholesterol, fatty acid 4 fraction, hemoglobin, hematocrit, cystatin C, renin, aldosterone, Brain natriuretic peptide, Atrial natriuretic peptide, NT-pro BNP 4) Amount of change from baseline in the following echocardiographic findings (3,12 months after surgery) Left ventricular ejection fraction (LVEF), presence or absence of MR (none, mild, moderate, severe), tricuspid regurgitation pressure gradient (none, mild, moderate, severe), left ventricular end diastolic diameter, left ventricular end systole diameter, Left ventricle diameter | — |
Countries
Japan
Contacts
Showa University Northern Yokohama Hospital Cardiology