About this trial
The goal of this study is to assess the short-term effects of minimal and moderate drinking on atrial fibrillation (AFib) episodes in a real-world population diagnosed with 'come-and-go'/paroxysmal AFib. The question it aims to answer is:
Is there a greater occurrence of AFib episodes when participants are allowed to consume alcohol according to random assignment?
Participants will:
* Be given daily random assignments to avoid or not to avoid alcohol * Wear an adhesive electrocardiographic (ECG) heart monitor * Wear a wrist-worn fitness tracker * Wear an anklet transdermal alcohol monitor * Wear an adhesive glucose monitor * Complete morning and evening surveys daily
Participants may be compensated up to $50 for full completion of the study. This study can be done in-person or remote.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Comfortable reading and writing in English
Have a smartphone and willing and able to use the Eureka mobile application
Currently diagnosed with paroxysmal AFib without a plan to change their AFib management during the two-week monitoring period
At least one episode of AFib in the past month OR, in the judgement of a healthcare provider, could potentially have one episode of AF in the next month
Disqualifiers
Only post-operative AFib
Greater than 40% ventricular pacing
History of alcohol addiction or abuse determined by self-reported history or AUDIT-C score
Intolerance to alcohol
Trial design
Crossover
Treatments tested in this trial
Alcohol Consumption Randomized Instructions
BehavioralAlcohol Avoidance: In this intervention assignment, participants will be instructed to avoid drinking alcohol for this day. Alcohol Non-Avoidance: In this intervention assignment, participants will be allowed to drink alcohol for this day.
Treatment groups
Trial outcomes
Primary outcomes
Presence or Absence of Discrete Atrial Fibrillation Episodes
Participants will be wearing a continuously recording ECG monitor for two weeks. The primary outcome will be the presence (versus absence) of at least one AFib episode on randomly assigned drinking versus non-drinking days.
Secondary outcomes
As-Treated Relationships versus the Presence of AFib
As-treated (whether alcohol was consumed or not according to real-time patient reports using the Zio patch button and/ or alcohol sensors) relationships versus the presence of AFib will be considered.
Daily Glucose Levels
This will first be assessed according to intention-to-treat and then as-treated. Participants will be wearing a continuous glucose monitor that will record serum glucose levels. A secondary outcome will be difference in daily glucose levels due to alcohol consumption or avoidance during the monitoring period.
Step Counts
This will first be assessed according to intention-to-treat and then as-treated. Participants will be wearing a fitness tracker that will record step counts. A secondary outcome will be difference in step counts due to alcohol consumption or avoidance during the monitoring period.
Sleep Duration
This will first be assessed according to intention-to-treat and then as-treated. Participants will be wearing a fitness tracker that will record sleep duration. A secondary outcome will be difference in sleep duration due to alcohol consumption or avoidance during the monitoring period.
Sponsors and contacts
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University of California, San Francisco
Lead sponsor
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Collaborator