Lighter sedation may be safer for AFib heart procedure
NCT ID NCT07541339
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at 224 adults with a type of irregular heartbeat called paroxysmal atrial fibrillation who are getting a first-time heart procedure called pulsed-field ablation. Researchers want to see if using conscious sedation (being awake but relaxed) is safer than general anesthesia (being fully asleep) during the procedure. The main focus is on whether conscious sedation reduces the risk of dangerously low blood pressure or low oxygen levels during the treatment.
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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 224 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Apr 2026
An estimate. Start dates often move.
- Expected to finish
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Mar 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 to 80 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: * Aged 18 to 80 years * Diagnosed with paroxysmal atrial fibrillation * No prior history of catheter ablation for atrial fibrillation/atrial flutter * Scheduled to undergo pulsed-field ablation * Provide written informed consent for study participation and be able to complete all scheduled follow-up assessments Exclusion Criteria: * Obstructive sleep apnea-hypopnea syndrome (OSAHS) * Complicated with severe chronic obstructive pulmonary disease (COPD), asthma or other respiratory system diseases * Body mass index (BMI) \>30 kg/m² or \<20 kg/m² * Preoperative pulse oxygen saturation (SpO₂) \<93% * Anticipated difficult airway * Intolerance to general anesthesia (American Society of Anesthesiologists \[ASA\] physical status ≥Ⅳ) * Current left ventricular ejection fraction (LVEF) ≤40% or New York Heart Association (NYHA) functional class Ⅲ-Ⅳ * Acute coronary syndrome within 3 months * Within 3 months after percutaneous coronary intervention (PCI), coronary artery bypass grafting (CABG) or other cardiac/vascular surgeries * Moderate/severe stenosis or severe regurgitation of aortic or mitral valve * Acute cerebrovascular disease within 1 month * Severe hepatic insufficiency (Child-Pugh Class C) * Estimated glomerular filtration rate (eGFR) \<45 mL/min/1.73m² or on dialysis * History of chronic heavy alcohol consumption * History of substance abuse * Hypersensitivity to any medications used in the study protocol * Pregnancy or lactation * Concurrent participation in other interventional clinical trials * Other conditions deemed unsuitable for study participation by the investigators
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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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Beijing Anzhen Hospital
Beijing, Beijing Municipality, 100029, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- New 12-step heart ablation method aims to keep irregular heartbeat away longer
- New algorithm aims to predict AF recurrence after ablation
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