Standard Versus Intensive Monitoring After Myocardial Infarction Looking for Atrial Fibrillation
NCT03345615 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 240
Last updated 2022-08-16
Summary
After a myocardial infarction (MI), patients discharged home in sinus rhythm may develop AF that is asymptomatic, undetected, and undertreated. Previous studies (CARISMA and ARREST) have demonstrate high rates of new-onset AF recorded on implantable loop recorder (ILR), although the routine implantation of ILRs post-MI remains costly and invasive. The external loop recorder may effectively identify patients with new-onset AF through a validated diagnostic algorithm and targeted monitoring during a high-risk period (immediately after hospital discharge). We will prospectively randomize patients to receive an external loop recorder or standard care, evaluating rates of new-onset AF developing within 30 days after MI.
Conditions
- Atrial Fibrillation New Onset
- Myocardial Infarction
Interventions
- DIAGNOSTIC_TEST
-
30-day ambulatory cardiac event monitor
SpiderFlash® 30-day ambulatory cardiac event monitoring will be worn upon discharge.
Sponsors & Collaborators
-
University of British Columbia
lead OTHER
Principal Investigators
-
Jason G Andrade, MD · University of British Columbia
Study Design
- Allocation
- RANDOMIZED
- Purpose
- DIAGNOSTIC
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-11-01
- Primary Completion
- 2022-03-01
- Completion
- 2022-12-01
Countries
- Canada
Study Locations
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