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Prevention of Atrial Fibrillation by Optimized Overdrive Stimulation (PAFOS)

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Abbott

Status

Completed

Conditions

Bradycardia
Atrial Fibrillation

Treatments

Device: Pacemaker Implantation

Study type

Interventional

Funder types

Industry

Identifiers

NCT01912326
B01- 408

Details and patient eligibility

About

Evaluation of dynamic Atrial Overdrive Stimulation using the AF Suppression Algorithm to prevent atrial tachyarrhythmias in patients with more than 2% Auto Mode Switch Episodes with optimized pacemaker programming.

Hypothesis:

Dynamic atrial Overdrive (AF Suppression) reduces AT/AF Burden by 30% as compared to programming DDDR-(60) without AF Suppression when all other parameters are optimized.

Full description

Atrial Fibrillation is the most common Heart Rhythm Disorder requiring therapy.

Enrollment

249 patients

Sex

All

Ages

19+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • indication for dual chamber pacemaker
  • documented paroxysmal or persistent Atrial Fibrillation
  • P-wave >1.0 mV in Sinus Rhythm or sufficient detection of AFib
  • stable antyarrhythmic therapy
  • age >= 19 years
  • written informed consent
  • implantation of a Identity DR 5370/5376 or later
  • bipolar atrial lead

Exclusion criteria

  • permanent AFib
  • reversible etiology of AFib
  • HYHA II or IV
  • Coronary Artery disease with stable angina pectoris
  • implanted ICD or planned implantation of a ICD
  • cardiac surgery within the last 6 months or planned within 12 months
  • live expectancy < 12 months
  • pregnancy

Trial design

Primary purpose

Prevention

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

249 participants in 2 patient groups

AF Suppression On
Active Comparator group
Description:
AF Suppression Algorithm On, optimized AF Pacemaker Programming
Treatment:
Device: Pacemaker Implantation
AF Suppression Off
Active Comparator group
Description:
AF Suppression programmed Off, Optimized Pacemaker Programming
Treatment:
Device: Pacemaker Implantation

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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