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.
Quick facts
| Study type | Observational |
|---|---|
| Sex | All |
| Enrollment | 5800 (estimated) |
| Sponsor | Samsung Medical Center Academic / other |
| Locations | 1 site (Seoul, Seoul) |
| Status | Recruiting |
| Started | February 18, 2026 |
| Main results expected | February 28, 2027 |
| Study ends | February 28, 2027 |
| Registry record updated | May 29, 2026 |
| Trial ID | NCT07607093 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
- Study coordinator: Ju Youn Kim, Ph.D
- Email: kzzoo921@gmail.com
- Phone: 82+ 10-5482-7307
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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.