Cerebral Oxygen Saturation Measurement During Cardioversion Because of Atrial Fibrillation
NCT ID: NCT02378155
Last Updated: 2015-08-19
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
60 participants
INTERVENTIONAL
2015-02-28
Brief Summary
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Since atrial fibrillation (AF) has been linked with an increased risk for the development of neurocognitive deficits, a longer period of AF might be associated with a higher risk for neurocognitive deficits.
It is hypothesized that there is an increase in the regional cerebral oxygen saturation (rSO2) of patients with paroxysmal or persistent AF after successful cardioversion.
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Detailed Description
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Patients perform several standardised neurocognitive tests to obtain a general view on the neurocognitive status (auditory verbal learning test, mini-mental state examination, trail making A and B, digit-symbol coding and RAND 36 Health Survey).
Cerebral oxygenation is observed during cardioversion by means of the SenSmart Model X-100 (Nonin). Additional parameters (pulse oximetry, cardiac output, arterial blood pressure, 6-lead electrocardiography (ECG), left ventricular ejection fraction) are recorded. All measurements are performed non-invasively. Patients receive standard treatment following the clinical guidelines.
Conditions
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Study Design
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NON_RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
NONE
Study Groups
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electrical cardioversion
Hemodynamic unstable patients with atrial fibrillation who are scheduled to undergo electrical reconversion to convert their irregular heart rhythm into a normal sinus rhythm. Cerebral tissue oxygen saturation is measured by means of SenSmart Model X-100, Nonin Medical.
SenSmart Model X-100, Nonin Medical
Device to measure cerebral tissue oxygen saturation
pharmacological cardioversion
Patients who develop atrial fibrillation after cardiac surgery. Pharmacological treatment with amiodarone is started in order to convert their irregular heart rhythm into a normal sinus rhythm. Cerebral tissue oxygen saturation is measured by means of SenSmart Model X-100, Nonin Medical.
SenSmart Model X-100, Nonin Medical
Device to measure cerebral tissue oxygen saturation
Interventions
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SenSmart Model X-100, Nonin Medical
Device to measure cerebral tissue oxygen saturation
Eligibility Criteria
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Inclusion Criteria
* diagnosis of paroxysmal or persistent atrial fibrillation
* scheduled for electrical cardioversion or atrial fibrillation development in the first days after cardiac surgery followed by pharmacological treatment with amiodarone
* Dutch speaking
Exclusion Criteria
* diagnosis of permanent atrial fibrillation
* atrial fibrillation with thrombus in left atrial appendage
* chronic obstructive pulmonary disease GOLD class 3 or 4
* airway manipulation during cardioversion
* pregnant women
* medical history of cerebrovascular accident or brain injury
* medical history of cardiopulmonary resuscitation
18 Years
ALL
No
Sponsors
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Hasselt University
OTHER
Responsible Party
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Cornelia Genbrugge
MD
Principal Investigators
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Cornelia Genbrugge, MD
Role: PRINCIPAL_INVESTIGATOR
Hasselt University
Locations
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Ziekenhuis Oost-Limburg
Genk, Limburg, Belgium
Countries
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References
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Pellicer A, Bravo Mdel C. Near-infrared spectroscopy: a methodology-focused review. Semin Fetal Neonatal Med. 2011 Feb;16(1):42-9. doi: 10.1016/j.siny.2010.05.003. Epub 2010 Jun 26.
Wutzler A, Nee J, Boldt LH, Kuhnle Y, Graser S, Schroder T, Haverkamp W, Storm C. Improvement of cerebral oxygen saturation after successful electrical cardioversion of atrial fibrillation. Europace. 2014 Feb;16(2):189-94. doi: 10.1093/europace/eut246. Epub 2013 Jul 31.
Other Identifiers
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AF I
Identifier Type: -
Identifier Source: org_study_id
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