New study to test best heart rhythm fix for seniors
NCT ID NCT07424690
First seen Jun 27, 2026 · Last updated Aug 06, 2026 · Updated 2 times
Summary
This study looks at two ways to treat atrial fibrillation (a common heart rhythm problem) in people aged 78 and older. One approach uses a procedure called catheter ablation to fix the heart's electrical signals, while the other uses medications to control heart rate or rhythm. Researchers will track participants for 2 years to see which strategy leads to fewer serious health events and better quality of life.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 282 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Sep 2034
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.
- Ages
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78 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.
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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 ≥78 years. 2. ECG-documented atrial fibrillation. 3. AF type: paroxysmal, persistent, or longstanding persistent AF. 4. Suitable candidate for catheter ablation according to ESC guidelines. 5. Charlson's comorbidity index ≤7. Exclusion Criteria: 1. Left atrial (LA) dimension \>55 mm, based on echocardiography within the previous year. 2. Acute coronary syndrome or coronary artery bypass surgery within the last 12 weeks. 3. Severe valvular heart disease (per ESC definitions) or congenital heart disease. 4. Prior surgical or catheter AF ablation procedure, or prior AV-node (atrioventricular nodal) ablation. 5. Contraindication to oral anticoagulation. 6. AF due to a reversible cause. 7. Medical condition likely to limit survival to \<12 months. 8. Unable or unwilling to provide informed consent. 9. History of non-compliance with medical therapy. 10. BMI \<18 or \>37 kg/m².
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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 places running it
1 site. The list below names each one and where it is.
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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.
Contacts and locations
Locations
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Karolinska University Hospital
Stockholm, Sweden
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