Clinical trial Recruiting at 1 site Observational

Early rhythm control in atrial fibrillation with tricuspid regurgitation

Official title: Efficacy of Early Rhythm Control in AF With TR Patients

Run by Samsung Medical Center · NCT07607093 · Data updated 2026-11-12

This study tests whether starting rhythm control early in people with atrial fibrillation and tricuspid regurgitation can improve outcomes compared with usual care.

More Atrial Fibrillation (AF) trials

Quick facts

Study typeObservational
SexAll
Enrollment5800 (estimated)
SponsorSamsung Medical Center
Academic / other
Locations1 site (Seoul, Seoul)
StatusRecruiting
StartedFebruary 18, 2026
Main results expectedFebruary 28, 2027
Study endsFebruary 28, 2027
Registry record updatedMay 29, 2026
Trial IDNCT07607093 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with both atrial fibrillation and tricuspid regurgitation who have not had valvular surgery and do not have primary pulmonary hypertension or other specified exclusions.

Probably not a fit

Patients with histories like congenital heart disease, prior device therapy before TR diagnosis, or certain structural heart conditions may not benefit from early rhythm control.

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

What this trial studies

This observational study compares early rhythm control strategies—such as anti-arrhythmic drugs, DC cardioversion, and catheter ablation—with usual care in patients who have both atrial fibrillation and tricuspid regurgitation. The goal is to see if early rhythm control reduces a composite outcome of cardiac death, heart failure hospitalization, stroke, or need for tricuspid valve surgery. The analysis will explore how early rhythm control influences right heart remodeling and clinical events over time. The results may help determine if early rhythm control should be considered in this patient population. The study is conducted at Samsung Medical Center in Seoul, with Samsung as the lead sponsor.

Why it matters

Potential benefit: If successful, patients could experience fewer serious heart events and delayed progression requiring valve intervention.

How similar studies have gone: Prior studies suggest rhythm control can improve outcomes in atrial fibrillation, but evidence specific to patients with concomitant tricuspid regurgitation is limited and this study addresses that gap.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients with concomitant atrial fibrillation and tricuspid regurgitation.

Exclusion Criteria:

* Patients with a history of valvular surgery
* Patients with congenital heart disease
* Patients with primary pulmonary hypertension
* Patients with CIED implantation prior to the diagnosis of tricuspid regurgitation
* Patients diagnosed with TR only after the initiation of rhythm control therapy for AF

Where it's running

  • Samsung Medical Center
    Seoul, Seoul, South Korea
    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.