PACE-AF: Prospective Analysis of Cardiac Electrostimulation and Atrial Fibrillation

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorIlya Lukin

About this trial

PACE-AF is a prospective, observational patient registry designed to evaluate the impact of pacemaker algorithms on atrial fibrillation (AF) incidence, progression, and clinical outcomes in patients implanted with dual-chamber pacemakers. The registry aims to include 400-500 patients with longitudinal follow-up. Primary outcomes are progression to permanent AF and all-cause mortality. Secondary outcomes include quality of life, hospitalization, and cardiovascular events.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

• Age ≥ 18 years

Implantation of a dual-chamber permanent pacemaker

Ability to provide informed consent

Willingness to participate in long-term follow-up

Disqualifiers

• Single-chamber pacemaker or Cardiac Resynchronization Therapy device at baseline

Life expectancy < 1 year due to non-cardiac comorbidities

Inability to comply with follow-up visits or device interrogation

Participation in another clinical trial that could interfere with study endpoints

Trial population

Consecutive adult patients undergoing implantation of dual-chamber pacemakers at Tver State Medical University and affiliated hospitals.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

No trial groups listed

Trial outcomes

Primary outcomes

1

Incidence of Permanent Atrial Fibrillation (%)

Transition from paroxysmal or persistent atrial fibrillation to permanent atrial fibrillation, defined as a clinical decision to cease rhythm control strategies and accept permanent AF

Time frame
Up to 3 years of follow-up

Secondary outcomes

1

All-Cause Mortality Rate (number of participants)

Death from any cause during follow-up, according to clinical documentation and death registry data

Time frame
Up to 3 years
2

AF Burden (% of time in atrial fibrillation)

Percentage of time in atrial fibrillation recorded by device diagnostics (atrial high-rate episodes / AT/AF detection)

Time frame
Up to 3 years
3

Mean Left Atrial Pressure During Pacing (mmHg)

Intraoperative measurement of mean left atrial pressure according to pacing site.

Time frame
Baseline intraoperative
4

Change in Left Atrial Volume Index (mL/m²)

Change from baseline in left atrial volume index measured by transthoracic echocardiography according to pacing site.

Time frame
Baseline intraoperative + up to 12 months follow-up

Other outcomes

Sponsors and contacts

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