Atrial Fibrillation
Conditions
Keywords
Rate control, ILR
Brief summary
The investigators hypothesized that very lenient rate control is not inferior to strict or lenient rate control assessed by implantable continuous ECG monitor for preventing cardiovascular hospitalization and mortality in patients with long-standing persistent or permanent atrial fibrillation
Interventions
The Reveal XT was implanted in the parasternal area of the chest. The requirement for defining the exact final position was an R-wave amplitude ≥0.4 mV assessed through the Vector Check.
Sponsors
Study design
Eligibility
Inclusion criteria
* Long-standing persistent or permanent atrial fibrillation * Mean resting heart rate \> 80 beats per minute with or without rate control medication * Age \< 70 years old * Constant use of anticoagulation therapy
Exclusion criteria
* Paroxysmal or persistent atrial fibrillation * Non-stable heart failure or \> III NYHA FC * Indications for IPG/CRT/ICD * Thyroid dysfunction * Inability to walk or bike.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hospitalization for all cardio-vascular events | 12 months |
Secondary
| Measure | Time frame |
|---|---|
| All-cause death | 12 months |
| stroke | 12 months |
| life-threatening arrhythmic and drugs adverse events | 12 months |
Countries
Russia