Atrial Fibrillation, Rheumatic Valve Disease
Conditions
Keywords
Radiofrequency ablation, Maze, Atrial fibrillation
Brief summary
The purpose of this study is to determine whether concomitant radiofrequency Maze procedure for surgical treatment of chronic atrial fibrillation with rheumatic valve disease could provide better sinus rhythm control, improved cardiac hemodynamic status and decreased thromboembolism events and to compare if biatrial is better than left atrial procedure? 150 rheumatic valve patients with chronic atrial fibrillation (AF) having concomitant valve surgery were randomized to three groups: left atrial ablation group, bi-atrial ablation group, and Amiodarone group. All patients were scheduled followed up before discharge and at 3rd, 6th and 12th postoperative months. Standard 12-lead electrocardiography (ECG), 24-hour Holter and transthoracic echocardiography were used to determine the rhythm and cardiac hemodynamic status.
Detailed description
The purpose of this study is to determine whether concomitant radiofrequency Maze procedure for surgical treatment of chronic atrial fibrillation with rheumatic valve disease could provide better sinus rhythm control,improved cardiac hemodynamic status and decreased thromboembolism events and to compare if biatrial is better than left atrial procedure? 150 patients with chronic AF having concomitant cardiac surgery will be enrolled. Patients will underwent bi-atrial radiofrequency,left atrial radiofrequency or no radiofrequency procedure randomly. All the patients will receipt amiodarone 200 mg/day for 12 months postoperatively. All patients were scheduled followed before discharge and at 3rd, 6th and 12th postoperative months.The following diagnostic procedures were performed 1. Standard 12-lead electrocardiography 2. Holter-ECG 3. Transthoracic echocardiography
Interventions
Using Cardioblate® Surgical Ablation System to perform left atrial or bi-atrial radiofrequency ablation procedure during valve surgery
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients with atrial fibrillation secondary to definite rheumatic valve disease 2. At least six months and no longer than 5 years of chronic atrial fibrillation 3. Age \>=18 years and \<=70 Patients who can give informed consent themselves in writing 4. No contraindication for amiodarone 5. Negative pregnancy test (in women with childbearing potential)
Exclusion criteria
Any one of the following
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| At 3rd, 6th and 12th month's follow-up, to evaluate the rhythm status by ECG and 24-hour Holter and cardiac hemodynamic status by transthoracic echocardiography | 1 year |
Countries
China