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.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 1750 (estimated) |
| Sponsor | McMaster University Academic / other |
| Locations | 4 sites (Hamilton, Ontario and 3 other locations) |
| Status | Recruiting |
| Started | February 22, 2023 |
| Main results expected | July 2028 |
| Study ends | August 2028 |
| Registry record updated | July 16, 2026 |
| Trial ID | NCT05511389 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
- Study coordinator: William McIntyre, MD
- Email: william.mcintyre@phri.ca
- Phone: 9055212100
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.