Atrial fibrillation chronic heart failure
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Diagnosis of chronic heart failure with reduced ejection fraction (
Exclusion criteria
Exclusion criteria: 1. Hospitalization for heart failure in the previous 3 months before inclusion for another reason than for AF,. 2. Patients undergoing Continue Ambulant Peritoneal Dialysis (CAPD)/ Haemodialysis 3. Patient with a ST-segment-Elevated Myocardial Infarction (STEMI), CABG, PCI, CRT and/or valvular surgery within 1 month prior to ECV 4. Patients with planned Coronary Artery Bypass Grafting (CABG), Percutaneous Coronary Intervention (PCI), Cardiac Resynchronization Therapy (CRT) and/or valvular surgery in the month after electrocardioversion. 5. Documented recurrence of AF of more than 24 hours per week in the last two weeks (or extended period) of follow-up. 6. Worsening of heart failure requiring hospitalization or visit to the emergency room for other reasons than for AF during the first two weeks, and for any reason during the third to sixth week of study period. 7. Spontaneous (documented) conversion to sinus rhythm before ECV. 8. Signed informed consent for any current interventional study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Significant reduction in NT-proBNP levels after ECV for persistent AF in patients with severe chronic heart failure and reduced ejection fraction | — |
Secondary
| Measure | Time frame |
|---|---|
| - Significant reduction in NT-proBNP levels after electrical cardioversion for persistent AF in patients with severe chronic heart failure and reduced ejection fraction compared to patients with persistent AF and normal heart function.- - Significant change in cardiac output after ECV - Significant change in serum aldosterone levels after ECV | — |
Countries
Netherlands