Could a slower heartbeat boost quality of life for heart patients?
NCT ID NCT07205679
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at 40 adults with atrial fibrillation and heart failure to see if lowering their resting heart rate from 100-110 bpm to a more normal level improves exercise ability and quality of life. Participants will do treadmill tests before and after either a cardioversion (electric shock to reset heart rhythm) or a pacemaker plus ablation procedure. The goal is to learn whether current heart rate targets are too high for these patients.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 40 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2025
An estimate. Start dates often move.
- Expected to finish
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Jul 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Patients who have been clinically scheduled for either a P\&A or a cardioversion procedure.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age ≥ 18 2. Persistent or Permanent Atrial Fibrillation 3. HF - NYHA class II-IVA despite guideline-direct medical therapy 4. Rate controlled 5. Able to perform stress test 6. Scheduled for clinical P\&A OR cardioversion Exclusion Criteria: 1. Creatinine \>180 μmol/L or eGFR \<30 mL/min/1.73 m2 2. Significant valvular heart disease: Moderate to severe tricuspid regurgitation, mitral regurgitation, mitral stenosis, aortic regurgitation, aortic stenosis 3. Patients who have had a TAVI, valvular surgery, or CABG within 3 months of enrolment 4. Right ventricular systolic pressure \>50mmHg 5. Existing pacemaker 6. In sinus rhythm 7. Predictable vasovagal syncope to pain and sight of blood
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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