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Procedure
Cardioversion Devices for Atrial Fibrillation
N/A
Waitlist Available
Led By Brett Atwater, MD
Research Sponsored by Inova Health Care Services
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Age ≥ 18 years
In AF on presentation with plan for DCCV in either the Electrophysiology lab or DCCV procedure area
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 1 minute after shock delivered
Awards & highlights
Study Summary
This trial compares two shock treatments for cardiac defibrillation to see which is more effective and has fewer side effects. #MedicalResearch
Who is the study for?
This trial is for adults over 18 with Atrial Fibrillation (AF) who are stable and have a plan for electrical cardioversion. They must be properly anticoagulated or cleared of intracardiac thrombi by imaging. It's not for those on other trials, with unstable AF, other arrhythmias, untreated hyperthyroidism, pregnancy, or potential non-compliance.Check my eligibility
What is being tested?
The study compares two defibrillators: Zoll using a single 200J RBW shock and Lifepak using a single 360J BTE shock in patients with AF. Participants will be randomly assigned to one of the devices to see which is more effective at restoring normal heart rhythm.See study design
What are the potential side effects?
Possible side effects from the cardioversion may include skin irritation or burns where the defibrillator pads are placed, discomfort in the chest area due to shocks, short-term heart rhythm problems post-procedure, and very rarely more serious complications.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I am 18 years old or older.
Select...
I have atrial fibrillation and am scheduled for a cardioversion procedure.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ up to 1 minute after shock delivered
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 1 minute after shock delivered
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
The number of participants in normal sinus rhythm (NSR) by ECG after the first DCCV shock
Trial Design
4Treatment groups
Active Control
Group I: Zoll defibrillator waveform used after unsuccessful second full output shock.Active Control1 Intervention
Participants who received first shock via Zoll that do not have success after a second full output shock will be crossed over to the Lifepak defibrillator waveform and receive up to 2 full output shocks with a minimum of 1 minute between each shock to ascertain the outcome of the immediately prior shock.
Group II: Output synchronized to 200J using Zoll Rectilinear Biphasic Waveform (RBW) defibrillatorActive Control1 Intervention
Participants receiving Direct Current Cardioversion (DCCV) using full output Rectilinear Biphasic Waveform (RBW) shocks from a Zoll defibrillator (200 Joules) up to 2 shocks.
Group III: Output synchronized to 360J Lifepak Biphasic Truncated Exponential Waveform (BTE) defibrillatorActive Control1 Intervention
Participants receiving Direct Current Cardioversion (DCCV) using full output Biphasic Truncated Exponential Waveform (BTE) shocks from a Physiocontrol/Medtronic Lifepak defibrillator (360 Joules) up to 2 shocks.
Group IV: Lifepak defibrillator waveform used after unsuccessful second full output shock.Active Control1 Intervention
Participants who received first shock via Lifepak that do not have success after a second full output shock will be crossed over to the Zoll defibrillator waveform and receive up to 2 full output shocks with a minimum of 1 minute between each shock to ascertain the outcome of the immediately prior shock.
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Who is running the clinical trial?
Inova Health Care ServicesLead Sponsor
69 Previous Clinical Trials
21,699 Total Patients Enrolled
3 Trials studying Atrial Fibrillation
256 Patients Enrolled for Atrial Fibrillation
Brett Atwater, MDPrincipal InvestigatorInova Health Care Services
4 Previous Clinical Trials
118 Total Patients Enrolled
1 Trials studying Atrial Fibrillation
60 Patients Enrolled for Atrial Fibrillation
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I have a heart rhythm problem that is not atrial fibrillation.I have an overactive thyroid that hasn't been treated.My heart condition causes unstable blood pressure.I either lack proper blood thinning treatment or have confirmed no blood clots in my heart via scan.I am 18 years old or older.I have atrial fibrillation and am scheduled for a cardioversion procedure.
Research Study Groups:
This trial has the following groups:- Group 1: Zoll defibrillator waveform used after unsuccessful second full output shock.
- Group 2: Output synchronized to 200J using Zoll Rectilinear Biphasic Waveform (RBW) defibrillator
- Group 3: Output synchronized to 360J Lifepak Biphasic Truncated Exponential Waveform (BTE) defibrillator
- Group 4: Lifepak defibrillator waveform used after unsuccessful second full output shock.
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
Frequently Asked Questions
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
Are there any vacancies for this research project at the present time?
"Clinicaltrials.gov reveals that this experiment is not looking for participants at the present moment. This trial was published on July 21st 2023 and edited lastly on August 11th 2023, yet 497 other studies are actively recruiting patients now."
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