[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100630809":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":25,"centralContacts":30,"locations":36,"responsibleParty":83,"collaborators":85,"id":88,"slug":89,"hasResults":90,"nctId":91,"briefTitle":92,"officialTitle":92,"acronym":25,"eligibilityCriteria":93,"healthyVolunteers":90,"sex":94,"minAge":95,"maxAge":96,"enrollmentInfo":97,"targetDuration":25,"studyType":100,"phases":101,"briefSummary":103,"conditions":104,"keywords":25,"overallStatus":39,"whyStopped":25,"lastUpdateSubmitDate":107,"lastUpdatePostDateStruct":108,"startDateStruct":111,"completionDateStruct":113,"leadSponsor":115,"locationsCount":116},{"fullName":5,"class":6},"Jiangsu Taizhou People's Hospital","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Intervention Group","EXPERIMENTAL","The intervention group will receive a village doctor-led integrated management program supported by telemedicine, guideline-based training, and a simplified exercise-based cardiac rehabilitation component, aiming to prevent incident heart failure in elderly rural patients with atrial fibrillation who have preserved cardiac function.",[13],"Other: Village-Doctor Led Integrated Care",{"label":15,"type":16,"description":17,"interventionNames":18},"Control Group","ACTIVE_COMPARATOR","Participants in this arm will receive usual chronic disease management according to the National Basic Public Health Service requirements.",[19],"Other: Usual Care",[21,26],{"type":6,"name":22,"description":23,"armGroupLabels":24,"otherNames":25},"Village-Doctor Led Integrated Care","1. Village doctors will conduct monthly follow-up, including symptom assessment, vital-sign monitoring, medication adherence support, cardiovascular risk-factor management, health education, and referral when needed.\n2. Village doctors will provide AF management based on the ABC pathway and simplified home-based exercise rehabilitation education.\n3. When clinical deterioration or management difficulties occur, village doctors may use a remote care platform to obtain cardiology specialist consultation and treatment recommendations within 24 hours.\n4. Village doctors will receive standardized training on AF management, anticoagulation, rate\u002Frhythm control, and cardiovascular risk-factor management.\n5. Patients will receive structured education on medication adherence, symptom monitoring, lifestyle modification, exercise rehabilitation, and recognition of warning signs.",[9],null,{"type":6,"name":27,"description":28,"armGroupLabels":29,"otherNames":25},"Usual Care","Participants in the control group will receive usual chronic disease management according to the National Basic Public Health Service requirements. Usual care includes routine follow-up, general health education, medication registration, and standard referral procedures provided by local primary care providers. Participants will not receive the structured village-doctor led integrated care program.",[15],[31],{"name":32,"role":33,"phone":34,"phoneExt":25,"email":35},"Ming Chu","CONTACT","13814010410","chuming@njmu.edu.cn",[37,56,68],{"facility":38,"status":39,"city":40,"state":41,"zip":42,"country":43,"countryCode":44,"cosmosGeoPoint":45,"geoPoint":50,"contacts":51},"Village Clinics in Dongtai City, Jiangsu Province","RECRUITING","Yancheng","Dongtai","224200","China","CN",{"type":46,"coordinates":47},"Point",[48,49],120.1573,33.3575,{"lat":49,"lon":48},[52],{"name":53,"role":33,"phone":54,"phoneExt":25,"email":55},"Cheng Wu","18012515515","wucheng1413@163.com",{"facility":57,"status":39,"city":58,"state":59,"zip":60,"country":43,"countryCode":44,"cosmosGeoPoint":61,"geoPoint":65,"contacts":66},"Village Clinics in Jiangdu District, Jiangsu Province","Yangzhou","Jiangdu","225267",{"type":46,"coordinates":62},[63,64],119.43583,32.39722,{"lat":64,"lon":63},[67],{"name":32,"role":33,"phone":34,"phoneExt":25,"email":35},{"facility":69,"status":39,"city":70,"state":71,"zip":72,"country":43,"countryCode":44,"cosmosGeoPoint":73,"geoPoint":77,"contacts":78},"Village Clinics in Suining County, Jiangsu Province","Xuzhou","Suining","221200",{"type":46,"coordinates":74},[75,76],117.28386,34.20442,{"lat":76,"lon":75},[79],{"name":80,"role":33,"phone":81,"phoneExt":25,"email":82},"Wensu Chen","15050848274","Chen.wensu@163.com",{"type":84,"investigatorFullName":25,"investigatorTitle":25,"investigatorAffiliation":25,"oldNameTitle":25,"oldOrganization":25},"SPONSOR",[86],{"name":87,"class":6},"The First Affiliated Hospital with Nanjing Medical University","100630809","novel-model-of-integrated-care-of-older-patients-with-atrial-fibrillation-to-prevent-heart-failure-in-rural-china-100630809",false,"NCT07492498","Novel Model of Integrated Care of Older Patients With Atrial Fibrillation to Prevent Heart Failure in Rural China","Inclusion Criteria:\n\n1\\. The village clinics need to be willing and able to provide integrated care to their patients with atrial fibrillation; 2. The village doctors from one village clinic serves all AF patients from 3-5 nearby villages; 3. The village doctors are trained to have a fundamental understanding of telemedicine; 4. Patients are eligible for participation if 1)they aged 65-80 years.\n\n2)Availability of an electrocardiogram confirming atrial fibrillation, or an official diagnosis certificate of atrial fibrillation issued by a specialist.\n\n3)Receiving healthcare management from a primary medical institution near the place of residence.\n\n4)Able to understand and sign the informed consent form.\n\nExclusion Criteria:\n\n1. A definite history of heart failure, or confirmed cardiac dysfunction or heart failure based on echocardiography and\u002For NT-proBNP screening. Diagnostic criteria include typical heart failure symptoms or signs with reduced left ventricular ejection fraction (HFrEF, LVEF \\\u003C40%), mildly reduced left ventricular ejection fraction (HFmrEF, LVEF 40-49%), or preserved left ventricular ejection fraction with elevated NT-proBNP and structural heart disease evidence (HFpEF, LVEF ≥50%, with at least one of the following: LAVI \\>40 mL\u002Fm², E\u002Fe' ≥15, or TRV \\>2.8 m\u002Fs).\n2. Expected survival of less than 12 months.\n3. Severe renal insufficiency, defined as creatinine clearance \\\u003C30 mL\u002Fmin, or currently receiving dialysis treatment.\n4. Cardiac dysfunction caused by reversible secondary causes, including hyperthyroid heart disease, anemic heart disease, or uncorrected congenital heart disease.\n5. Indication for pacemaker implantation but without pacemaker placement.\n6. Chronic obstructive pulmonary disease complicated by type II respiratory failure.\n7. Special populations, such as patients with mental illness.","ALL","65 Years","80 Years",{"count":98,"type":99},1356,"ESTIMATED","INTERVENTIONAL",[102],"NA","This cluster randomized study aims to compare village doctor-led integrated care versus usual care to improve cardiovascular health, atrial fibrillation management, self-management adherence, and heart failure prevention among older rural patients with atrial fibrillation in China.",[105,106],"Atrial Fibrillation","Heart Failure","2026-07-25",{"date":109,"type":110},"2026-07-28","ACTUAL",{"date":112,"type":99},"2026-08-01",{"date":114,"type":99},"2030-07-01",{"name":5,"class":6},3]