Which shock works best for AFib? new trial pits zoll vs lifepak
NCT ID NCT05992623
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study tested two different defibrillator waveforms—Zoll's 200J rectilinear biphasic shock and Lifepak's 360J biphasic truncated exponential shock—to see which restores normal heart rhythm better in people with atrial fibrillation. Over 500 adults were randomly assigned to receive one type of shock during a cardioversion procedure. The main goal was to compare how many patients had a normal heartbeat one minute after the first shock, and also to check for side effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- external defibrillator (Zoll or Lifepak)
- What this could lead to
- If one waveform proves more effective, hospitals may adopt it to improve success rates for restoring normal heart rhythm with fewer shocks.
- What could go wrong
- This is a completed, moderate-sized trial, but results may not apply to all patients or settings. Both shocks are already in use, so no major breakthrough is expected.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
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
-
546 people
The number who actually took part.
- Started
-
Jul 2023
- Finished
-
Dec 2024
- Lead sponsor
-
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
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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 ≥ 18 years 2. In AF on presentation with plan for DCCV in either the Electrophysiology lab or DCCV procedure area Exclusion Criteria: 1. Participants who are receiving any other investigational agents. 2. Parents/guardians or participants who, in the opinion of the Investigator, may be non-compliant with study schedules or procedures. 3. Patients with arrhythmias other than AF 4. Patients with hemodynamically unstable AF 5. Patients with untreated hyperthyroidism 6. Patients with known or suspected pregnancy 7. Patients without sufficient anticoagulation or a transesophageal echocardiogram or computed tomography scan documenting the absence of intracardiac thrombi
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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.
Contacts and locations
Locations
-
Inova Health System
Falls Church, Virginia, 22042, United States
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