BurdEn of NEw Onset Atrial FIbrillation in patienTs With Acute Myocardial Infarction

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorShanghai 10th People's Hospital

About this trial

To validate the prognostic importance of the burden of new-onset atrial fibrillation (NOAF) complicating acute myocardial infarction (AMI) in a prospectively designed hospital-based registry. To characterize those factors that contribute to the progression of post-MI NOAF burden. To establish a prediction model for the risk stratification of patients with NOAF complicating AMI. To explore the clinical usefulness of NOAF burden in guiding the anticoagulation therapy among patients with post-MI NOAF.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adult patients (>18 years old);

Patient with AMI (including STEMI and NSTEMI) who developed NOAF during the index hospitalization;

Patients must have received in-hospital CEM for at least 5 days;

Patients must give informed consent.

Disqualifiers

Patients with a medical history of pre-existing AF;

Patients with a medical history of rheumatic valvular disease;

Patients with a medical history of sick sinus syndrome;

Patients undergoing emergent coronary artery bypass surgery;

Trial population

Patients with AMI who do not have a medical history of AF and develop an incident AF episode during the index hospitalization.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Continuous Electronic Monitor

    Device

    All patients with NOAF complicating AMI will receive at least 5 days electronic monitoring for the evaluation of NOAF burden

Treatment groups

774 Participants
are divided into 2 treatment groups
Group A: Low burden of new-onset atrial fibrillation1 intervention
Group B: High burden of new-onset atrial fibrillation1 intervention

Trial outcomes

Primary outcomes

1

All-cause death

Death from any cause

Time frame
up to 1 year

Secondary outcomes

1

Cardiovascular death

All deaths without a clear non-cardiovascular cause would be classified as cardiovascular deaths

Time frame
up to 1 year
2

Heart failure hospitalization

Heart failure hospitalization is defined as a minimum of an overnight hospital stay of a participant who presented with symptoms and signs of HF or received intravenous diuretics

Time frame
up to 1 year
3

Recurrent myocardial infarction

Recurrent myocardial infarction is defined as the myocardial infarction episode that occurs after 28 days following the index AMI hospitalization.

Time frame
up to 1 year
4

Ischemic stroke

Ischemic stroke is defined as the presence of a new focal neurologic deficit thought to be ischemic in origin, with signs or symptoms lasting\>24h.

Time frame
up to 1 year

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Shanghai 10th People's Hospital

Lead sponsor

Shanghai Tong Ren Hospital

Collaborator

Kaifeng Central Hospital

Collaborator

Shanghai 7th People's Hospital

Collaborator

The First Affiliated Hospital of Zhengzhou University

Collaborator

Luoyang Central Hospital

Collaborator