Heart showdown: which procedure boosts CRT best for AF and heart failure?

NCT ID NCT04664686

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This study is testing two different procedures—AF catheter ablation and AV node ablation—in 70 people who have heart failure, atrial fibrillation, and a CRT device that isn't pacing enough. The goal is to see which procedure better improves heart function and quality of life after 6 months. Participants will be randomly assigned to one of the two procedures and followed with echocardiograms and clinical checks.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

AF catheter ablation or AV node ablation

What this could lead to

If successful, this study could show which procedure better restores heart function and quality of life in people with heart failure and atrial fibrillation who already have a CRT device.

What could go wrong

This is a small, early-stage trial with only 70 participants, so results may not apply to everyone. Both procedures carry risks such as bleeding, infection, or heart rhythm problems.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

atrial fibrillation heart failure

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • Guys and St Thomas' NHS Foundation Trust

    RECRUITING

    London, SE1 7EH, United Kingdom

    Contact Phone: •••-•••-•••• Email: •••••@•••••

    Contact Phone: •••-•••-•••• Email: •••••@•••••