Lifestyle overhaul may keep atrial fibrillation at bay
NCT ID NCT03682991
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether intensive lifestyle changes—like treating sleep apnea, cutting alcohol, exercising, losing weight, and managing blood pressure—can stop atrial fibrillation (AF) from coming back after a heart procedure called catheter ablation. About 509 people with AF who are at higher risk due to factors like obesity, high blood pressure, or smoking are taking part. The goal is to see if these changes reduce hospital visits and serious AF episodes.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Aggressive risk factor control (lifestyle changes including sleep apnea treatment, alcohol reduction, exercise, weight loss, blood pressure management, and smoking cessation)
- What this could lead to
- If it works, this could show that intensive lifestyle changes help prevent atrial fibrillation from coming back after a heart procedure.
- What could go wrong
- This is a behavioral intervention, not a drug, so results depend heavily on patient adherence. The study is still ongoing, and it may not prove that these changes alone prevent AF recurrence.
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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509 people
The number who actually took part.
- Started
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Jul 2019
- Expected to finish
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Dec 2027
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.
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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: Patients with symptomatic (CCS-SAF ≥2) paroxysmal or persistent atrial fibrillation despite rate control, desiring catheter ablation and at least two of the following: * BMI ≥ 27, * BP ≥140/90 mmHg or history of hypertension, * Prior stroke/transient ischemic attack, * Diabetes, * Heart failure (prior heart failure admission or left ventricle ejection fraction (LVEF) \<40%), * Age ≥ 65 years * Current smoker * Excessive Alcohol use Exclusion Criteria: * Permanent AF (AF lasting \> 3 years) * Prior catheter ablation for AF * New York Heart Association (NYHA) Class IV (Severe) heart failure, * Participation in a cardiac rehabilitation program within the last year, * Currently performing exercise training \>150 minutes/week of moderate to vigorous physical activity, * Unable to exercise, * Unable to give informed consent, * Other noncardiovascular medical condition making 1 year survival unlikely, * Less than 18 years of age.
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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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Foothills Hospital
Calgary, Alberta, Canada
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Hamilton Health Sciences Center
Hamilton, Ontario, Canada
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Kelowna General Health
Kelowna, British Columbia, Canada
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Laval Hospital
Laval, Quebec, Canada
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London Health Sciences Center
London, Ontario, Canada
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Mazankowski Alberta Heart Institute
Edmonton, Alberta, Canada
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McGill University Health Centre
Montreal, Quebec, Canada
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Montreal Heart Institute
Montreal, Quebec, Canada
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Ottawa Heart Institute
Ottawa, Ontario, Canada
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QE II Health Sciences Centre
Halifax, Nova Scotia, B3H 3A7, Canada
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Regina General Hospital
Regina, Saskatchewan, Canada
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Sacre Coeur Hospital
Montreal, Quebec, Canada
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Saint John Regional Hospital
Saint John, New Brunswick, Canada
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St. Mary's General Hospital
Kitchener, Ontario, Canada
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St. Michael's Hospital
Toronto, Ontario, Canada
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St. Paul's Hospital
Vancouver, British Columbia, Canada
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Sunnybrook Health Sciences Centre
Toronto, Ontario, Canada
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