Heart monitor after ablation may cut AF time
NCT ID NCT04922281
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether using an implantable heart monitor (or a wearable patch) to detect atrial fibrillation early after catheter ablation can reduce the total time spent in AF. About 120 people with paroxysmal or persistent AF will be monitored for 15 months. The goal is to see if early treatment guided by the monitor lowers AF burden and healthcare use.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Insertable cardiac monitor (Confirm Rx) or external LT-ECG patch (CAM)
- What this could lead to
- If successful, this could show that early detection and treatment of atrial fibrillation after ablation reduces the total time spent in AF, improving heart health.
- What could go wrong
- This is a small, early-phase study with only 120 participants, so results may not apply to everyone. The monitoring devices may cause discomfort or skin irritation.
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
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About 120 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2022
- Expected to finish
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Dec 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.
- 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 * History of paroxysmal atrial fibrillation (per 2019 HRS guidelines definition: an episode of AF that terminates spontaneously or with intervention in less than seven days), according to current guideline indications for paroxysmal AF CA (Class I/II); or patients with history of persistent atrial fibrillation (per 2019 HRS guidelines definition: sustained AF episode lasting more than 7 days, but less than 3 years), according to current guideline indications for persistent AF CA (Class I/IIIa) any time in the past. * 18 years of age or older at time of consent * CA to be performed for AF as standard of care within 2 calendar months after consent and prior to randomization date * One of the following: * Abbott ICM device indicated for monitoring symptoms after CA as standard of care and inserted within 2 calendar months after consent and prior to randomization date * Patients with an existing CIED (ICD/CRTD/PPM/ICM) are allowed if there is an atrial lead to track AF. * Patient without an existing CIED preferring to use a noninvasive LT-ECG monitor. Exclusion criteria * Inability or unwilling to undergo CA (e.g., presence of intra-cardiac thrombus, contraindication to anticoagulation or other contraindication to CA) * Inability to tolerate any AAD therapy * Permanent atrial fibrillation lasting more than 3 years prior to date of consent * NYHA class IV congestive heart failure * Life expectancy \<1 year after consent date for any medical condition * Pregnancy or nursing * Unwillingness to comply with all post-procedural follow-up requirements and to sign informed consent * Participation in other interventional research studies (observational registries are allowed).
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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
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University of Rochester Medical Center
Rochester, New York, 14642, United States
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