Clinical trial Recruiting at 2 sites Interventional Ages 40 and up

Atrial fibrillation screening for people with higher-than-median NT-proBNP in Tromsø

Official title: Atrial Fibrillation and Long Term ECG Monitoring of Heart Rhythm in the Tromsø Study

Run by University Hospital of North Norway · NCT07343895 · Data updated 2026-11-12

This will test whether giving 7-day wearable ECG monitoring to people aged 40+ with NT-proBNP above the median can find atrial fibrillation and reduce ischemic stroke and vascular deaths compared with no long-term monitoring.

More Stroke trials

Quick facts

Study typeInterventional
Ages40 Years and up
SexAll
Enrollment4000 (estimated)
SponsorUniversity Hospital of North Norway
Academic / other
Locations2 sites (Tromsø and 1 other locations)
StatusRecruiting
StartedOctober 24, 2025
Main results expectedMarch 1, 2032
Study endsMarch 1, 2035
Registry record updatedJanuary 15, 2026
Trial IDNCT07343895 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 40 years or older with NT-proBNP above the population median, no known atrial fibrillation, not on anticoagulation, and willing to provide informed consent are ideal candidates.

Probably not a fit

People with known AF, those already taking anticoagulants, those with pacemaker/CRT devices, or those without a smartphone (or with NT-proBNP at or below the median) are not eligible and unlikely to benefit from this screening strategy.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This randomized sub-study within the Tromsø population cohort will enroll 4,000 participants with NT-proBNP above the median and no prior AF or anticoagulation, randomizing 2,000 to 7-day continuous ECG monitoring with the ECG247 patch and AI-based analysis and 2,000 to usual care without long-term monitoring. Participants in whom AF is detected will be offered anticoagulation according to current international guidelines. The primary comparison is incident ischemic stroke and cardiovascular death between the screened and unscreened groups over follow-up. Extensive baseline data from the Tromsø Study will allow analyses of associations with echocardiographic measures, brain MRI changes, cognition, and quality of life.

Why it matters

Potential benefit: If successful, this approach could detect otherwise-hidden AF earlier and lower the risk of ischemic stroke and vascular death by directing appropriate anticoagulation.

How similar studies have gone: Prolonged ECG monitoring is known to increase AF detection in other studies, but whether screening reduces stroke is still uncertain and using NT-proBNP as a prescreening step is a relatively new, less-tested approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age ≥40 years
* NT-proBNP\> median level
* Informed consent for participation

Exclusion Criteria:

* History of AF (self-reported)
* Use of anticoagulation therapy
* Pacemaker/CRT device
* No available smart phone

Where it's running

  • Uit The Arctic University of Norway
    Tromsø, Norway
    Recruiting
  • University Hospital of North Norway Health Trust
    Tromsø, Norway
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.