REVEAL AF: Incidence of AF in High Risk Patients

NCT ID: NCT01727297

Last Updated: 2018-04-30

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

446 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-11-13

Study Completion Date

2017-01-30

Brief Summary

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This study is to determine, through continuous monitoring with the Reveal implantable cardiac monitor (ICM), the incidence of atrial fibrillation (AF) in patients suspected to be at high risk for having AF and to understand how physicians manage these patients after AF has been detected. This study will also seek to identify what patient characteristics are most predictive of developing AF.

Detailed Description

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Conditions

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Atrial Fibrillation

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

SCREENING

Blinding Strategy

NONE

Study Groups

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REVEAL Implantable Cardiac Monitor

Group Type OTHER

REVEAL Implantable Cardiac Monitor

Intervention Type DEVICE

Interventions

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REVEAL Implantable Cardiac Monitor

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patient meets the approved indications to receive the Reveal ICM
* Patient is suspected, based on symptomatology and/or demographics, of having atrial fibrillation or at high risk of having AF, as determined by the clinical investigator
* Patient has a Congestive heart failure, Hypertension, Age ≥75 years, Diabetes mellitus, prior Stroke or transient ischemic attack (TIA) or thromboembolism (doubled) (CHADS2) score ≥ 3 OR has a CHADS2 score = 2 with at least one of the following documented: renal impairment (GFR 30-60 ml/min), sleep apnea, coronary artery disease, or chronic obstructive pulmonary disease. Note: stroke/TIA criterion as part of the CHADS2 score for this trial is limited to either an ischemic stroke or TIA, which occurred more than one year prior to enrollment.
* Patient is 18 years of age or older
* Patient has a life expectancy of 18 months or more
* Patient, or legally authorized representative, is willing to sign and date the consent form
* Patient is willing and able to be remotely monitored (i.e., eligible for enrollment into the Medtronic CareLink Network)

Exclusion Criteria

* Patient has a documented history of AF or atrial flutter
* Patient had an ischemic stroke or TIA within past year prior to enrollment
* Patient has a history of a hemorrhagic stroke
* Patient is currently implanted with an implantable pulse generator (IPG), implantable cardioverter defibrillator (ICD), cardiac resynchronization therapy pacemaker (CRT-P), or cardiac resynchronization therapy defibrillator (CRT-D) device
* New York Heart Association (NYHA) Class IV Heart Failure patient
* Patient had heart surgery within previous 90 days prior to enrollment
* Patient had a myocardial infarction (MI) within the previous 90 days prior to enrollment
* Patient is taking chronic immuno-suppressant therapy
* Patient is taking an anti-arrhythmic drug
* Patient is contraindicated for long term anticoagulation medication
* Patient is taking a long-term anticoagulation medication
* Any concomitant condition which, in the opinion of the investigator, would not allow safe participation in the study (e.g., drug addiction, alcohol abuse, emotional / psychological diagnosis)
* Patient is enrolled in another study that could confound the results of this study, without documented pre-approval from Medtronic study manager
* Patient has a creatinine clearance \<30 ml/min or is on dialysis
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medtronic Cardiac Rhythm and Heart Failure

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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James A Reiffel, MD

Role: PRINCIPAL_INVESTIGATOR

Columbia University

Locations

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Phoenix Heart, PLLC

Glendale, Arizona, United States

Site Status

Cardiovascular Consultants Heart Center

Fresno, California, United States

Site Status

Desert Heart Rhythm Consultants

Palm Springs, California, United States

Site Status

Healdsburg Cardiology

Windsor, California, United States

Site Status

Nanticoke Cardiology

Seaford, Delaware, United States

Site Status

Bradenton Cardiology

Bradenton, Florida, United States

Site Status

The Cardiac & Vascular Institute

Gainesville, Florida, United States

Site Status

Cardiac Clinic

Kissimmee, Florida, United States

Site Status

Northside Hospital

St. Petersburg, Florida, United States

Site Status

North Georgia Heart Foundation

Gainesville, Georgia, United States

Site Status

Premier HealthCare

Bloomington, Indiana, United States

Site Status

Cardiovascular Consultants PC (Munster IN)

Munster, Indiana, United States

Site Status

The University Kansas Medical Center Research Institute Inc

Kansas City, Kansas, United States

Site Status

Cardiovascular Consultants of Kansas

Wichita, Kansas, United States

Site Status

Delmarva Heart Research Foundation Inc

Salisbury, Maryland, United States

Site Status

Minneapolis Heart Institute Foundation

Minneapolis, Minnesota, United States

Site Status

Minneapolis VA Health Care System

Minneapolis, Minnesota, United States

Site Status

Jackson Heart Clinic

Jackson, Mississippi, United States

Site Status

Cox Medical Center South

Springfield, Missouri, United States

Site Status

Saint Louis University Hospital

St Louis, Missouri, United States

Site Status

Glacier View Research Institute Cardiology

Kalispell, Montana, United States

Site Status

CHI Health Cardiology (Bergen)

Omaha, Nebraska, United States

Site Status

Englewood Hospital & Medical Center

Englewood, New Jersey, United States

Site Status

Hackensack University Medical Center

Hackensack, New Jersey, United States

Site Status

The Valley Hospital

Ridgewood, New Jersey, United States

Site Status

Lourdes Cardiology Services

Voorhees Township, New Jersey, United States

Site Status

Icahn School of Medicine at Mount Sinai

New York, New York, United States

Site Status

New York-Presbyterian Hospital/Columbia University Medical Center

New York, New York, United States

Site Status

Caromont Regional Medical Center

Gastonia, North Carolina, United States

Site Status

Saint Elizabeth Youngstown Hospital

Youngstown, Ohio, United States

Site Status

Oklahoma Heart Hospital Research Foundation

Oklahoma City, Oklahoma, United States

Site Status

Salem Cardiovascular Associates

Salem, Oregon, United States

Site Status

The Heart Care Group PC (Allentown PA)

Allentown, Pennsylvania, United States

Site Status

Lankenau Institute for Medical Research

Wynnewood, Pennsylvania, United States

Site Status

South County Cardiology

Wakefield, Rhode Island, United States

Site Status

Selcuk A. Tombul, D.O., F.A.C.C.

Chattanooga, Tennessee, United States

Site Status

The Stern Cardiovascular Foundation

Germantown, Tennessee, United States

Site Status

Sutherland Cardiology Clinic

Germantown, Tennessee, United States

Site Status

Turkey Creek Medical Center

Knoxville, Tennessee, United States

Site Status

Baylor Heart & Vascular Hospital

Dallas, Texas, United States

Site Status

Baylor Research Institute (Plano TX)

Plano, Texas, United States

Site Status

Woodlands North Houston Heart and Vein Center

The Woodlands, Texas, United States

Site Status

ProHealth Care

Waukesha, Wisconsin, United States

Site Status

LKH - Universitätsklinikum Graz

Graz, , Austria

Site Status

Allgemein öffentliches Krankenhaus der Elisabethinen Linz

Linz, , Austria

Site Status

Klinikum Coburg GmbH

Coburg, , Germany

Site Status

Universitätsklinikum Düsseldorf

Düsseldorf, , Germany

Site Status

Universitätsmedizin Göttingen Georg-August-Universität

Göttingen, , Germany

Site Status

Asklepios Klinik Sankt Georg

Hamburg, , Germany

Site Status

Klinikum Lünen St.-Marien-Hospital GmbH - Akademisches Lehrkrankenhaus der Westfälischen Wilhelms-Un

Lünen, , Germany

Site Status

Eberhard Karls Universität Tübingen - Universitätsklinikum Tübingen

Tübingen, , Germany

Site Status

Azienda Ospedaliera San Gerardo

Monza, , Italy

Site Status

Ospedale classificato ed equiparato Sacro Cuore - Don Calabria

Negrar, , Italy

Site Status

Ospedale civile di Ciriè

Torino, , Italy

Site Status

Catharina Ziekenhuis

Eindhoven, , Netherlands

Site Status

St. Antonius Ziekenhuis

Nieuwegein, , Netherlands

Site Status

University Medical Centre Ljubljana

Ljubljana, , Slovenia

Site Status

Hospital Universitari de Tarragona Joan XXIII

Tarragona, , Spain

Site Status

Countries

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United States Austria Germany Italy Netherlands Slovenia Spain

References

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Reiffel JA, Verma A, Kowey PR, Halperin JL, Gersh BJ, Elkind MSV, Ziegler PD, Kaplon RE, Sherfesee L, Wachter R; REVEAL AF Investigators. Rhythm monitoring strategies in patients at high risk for atrial fibrillation and stroke: A comparative analysis from the REVEAL AF study. Am Heart J. 2020 Jan;219:128-136. doi: 10.1016/j.ahj.2019.07.016.

Reference Type DERIVED
PMID: 31862084 (View on PubMed)

Reiffel JA, Verma A, Kowey PR, Halperin JL, Gersh BJ, Wachter R, Pouliot E, Ziegler PD; REVEAL AF Investigators. Incidence of Previously Undiagnosed Atrial Fibrillation Using Insertable Cardiac Monitors in a High-Risk Population: The REVEAL AF Study. JAMA Cardiol. 2017 Oct 1;2(10):1120-1127. doi: 10.1001/jamacardio.2017.3180.

Reference Type DERIVED
PMID: 28842973 (View on PubMed)

Other Identifiers

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REVEAL AF

Identifier Type: -

Identifier Source: org_study_id

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