Heart attack survivors: could a dual ablation approach stop deadly rhythms?
NCT ID NCT07240441
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This trial tests two ways to treat ventricular tachycardia (a fast, dangerous heart rhythm) in people who have had a heart attack and have an implanted defibrillator. One method uses standard ablation inside the heart; the other also ablates outside the heart. The study will track deaths, electrical storms, and defibrillator shocks over two years to see which approach works better.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- catheter ablation (heart procedure)
- What this could lead to
- If successful, this could show that a more extensive ablation approach (inside and outside the heart) is better at preventing dangerous heart rhythms and shocks from an implanted defibrillator.
- What could go wrong
- This is a mid-sized trial, not yet proven. The more extensive procedure carries extra risks like bleeding around the heart. Results may not apply to all patients.
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
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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 220 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2025
- Expected to finish
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Nov 2030
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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18 to 85 years
- 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: * Status after myocardial infarction (minimum 3 months before inclusion in the study). * Documented post-infarction VT or VF. * Implantable ICD (at least 2 weeks before ablation) or CRT-D (at least 2 months before ablation). * A history of at least one from below: 1. One or more high energy interventions. 2. Three or more adequate antitachycardia pacing therapies, including one symptomatic. 3. Three or more episodes of VT in 24 hours (interrupted by ATP or shock) - electrical storm. 4. Sustained VT recorded on ECG with a cycle length longer than the ICD detection threshold. * Age between 18 and 85 years. * Signed informed consent to participate in the study. Exclusion Criteria: * Obesity with BMI \> 40 kg/m2. * Left ventricle ejection fraction \< 20%. * Pregnancy or breastfeeding. * Renal failure (eGFR \< 20 mL/min/1.73m2). * Fresh ballot thrombus in the left ventricle. * Suspicion of massive adhesions in the pericardium that may impede pericardial puncture. * Ablation of the post-infarction VT in the left ventricle in medical history. * Previous heart surgery. * Acute conditions that prevent ablation (including active infection, overt hyperthyroidism and others listed below). * Active neoplastic disease. * Heart failure with NYHA IV. * Life expectancy less than 12 months.
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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
9 sites. 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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Grochowski Hospital named after Dr. Rafał Masztak, MD
NOT_YET_RECRUITINGWarsaw, Poland
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Independent Public Health Care Facility University Hospital in Krakow
NOT_YET_RECRUITINGKrakow, Poland
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Medical University of Warsaw
RECRUITINGWarsaw, Masovian Voivodeship, Poland
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Medicover Hospital
RECRUITINGWarsaw, Masovian Voivodeship, 02-972, Poland
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National Institute of Cardiology
NOT_YET_RECRUITINGWarsaw, Masovian Voivodeship, Poland
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University Clinical Center based in Gdańsk
NOT_YET_RECRUITINGGdansk, Poland
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University Clinical Hospital No. 2 PUM in Szczecin
NOT_YET_RECRUITINGSzczecin, Poland
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University Clinical Hospital in Poznań
NOT_YET_RECRUITINGPoznan, Poland
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University Hospital No. 1 in Bydgoszcz
NOT_YET_RECRUITINGBydgoszcz, Poland
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