Clinical trial Recruiting at 3 sites Interventional Ages 18 and up

Comparing two electrode positions for heart rhythm restoration in atrial fibrillation

Official title: A Randomized Controlled Trial of Anterior-posterior Versus Anterior-lateral Shock Vectors for Electrical Cardioversion of Atrial Fibrillation

Run by McMaster University · NCT05511389 · Data updated 2026-11-12

This study is testing whether using two different electrode positions during heart rhythm restoration can help people with atrial fibrillation feel better and have more successful treatments.

More Atrial Fibrillation trials

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment1750 (estimated)
SponsorMcMaster University
Academic / other
Locations4 sites (Hamilton, Ontario and 3 other locations)
StatusRecruiting
StartedFebruary 22, 2023
Main results expectedJuly 2028
Study endsAugust 2028
Registry record updatedJuly 16, 2026
Trial IDNCT05511389 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are consenting adult patients scheduled for non-emergent electrical cardioversion of atrial fibrillation or flutter.

Probably not a fit

Patients who are not adequately anticoagulated or have anatomical contraindications for electrode placement may not benefit from this study.

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

What this trial studies

This study investigates the effectiveness of two different electrode positions, anteroposterior and anterolateral, during electrical cardioversion for patients with atrial fibrillation or flutter. By optimizing electrode placement, the study aims to enhance the success rate of restoring normal heart rhythm, potentially leading to better health outcomes and reduced healthcare costs. The trial will involve consenting adult patients who are scheduled for non-emergent cardioversion, while excluding those with contraindications or insufficient anticoagulation. The goal is to determine which electrode position yields superior results in terms of restoring sinus rhythm.

Why it matters

Potential benefit: If successful, this study could lead to improved heart rhythm restoration and better overall health outcomes for patients with atrial fibrillation.

How similar studies have gone: While there is ongoing research in optimizing electrical cardioversion techniques, this specific comparison of electrode positions is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

Consenting adult patients scheduled for non-emergent electrical cardioversion of Atrial Fibrillation or Flutter

Exclusion Criteria:

1. Insufficiently anticoagulation for cardioversion as per Canadian Cardiovascular Society guidelines or have not undergone trans-esophageal echocardiography to rule out left atrial thrombus
2. Anatomic contraindication to anterolateral or anteroposterior placement (e.g. skin conditions or wounds)

Where it's running

  • Hamilton Health Sciences
    Hamilton, Ontario, Canada
    Recruiting
  • Women's College Hospital
    Toronto, Ontario, Canada
    Recruiting
  • Institut Universitaire De Cardiologie Et De Pneumologie de Québec
    Québec, Quebec, Canada
    Recruiting
  • Institut de cardiologie de Montréal
    Montreal, Quebec, Canada
    Active not 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.