Personalized Atrial Fibrillation Ablation Using Unipolar QS-Potential Mapping
Official title: Unipolar Mapping for Personalized Atrial Fibrillation Ablation: An Interventional Study on Arrhythmia Maintenance and Atrial Remodeling
Run by China National Center for Cardiovascular Diseases · NCT07630857 · Data updated 2026-11-12
In people with atrial fibrillation who are having catheter ablation, this study tests whether guiding the procedure with unipolar QS-potential mapping can improve outcomes compared with standard pulmonary vein isolation.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 80 Years |
| Sex | All |
| Enrollment | 200 (estimated) |
| Sponsor | China National Center for Cardiovascular Diseases Government |
| Locations | 1 site (Beijing, Beijing Municipality) |
| Status | Recruiting |
| Started | June 20, 2026 |
| Main results expected | September 19, 2026 |
| Study ends | December 20, 2026 |
| Registry record updated | June 16, 2026 |
| Trial ID | NCT07630857 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18–80 with paroxysmal or persistent AF scheduled for catheter ablation, including those with recurrent AF after prior ablation, who can consent and complete 3-month follow-up.
✕Probably not a fit
Patients with severely reduced heart function, severe valvular disease, intracardiac thrombus, active infection, or other exclusion criteria may not benefit from this approach.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional study enrolls adults with atrial fibrillation undergoing catheter ablation and compares personalized ablation guided by unipolar QS-potential mapping to conventional pulmonary vein isolation. The approach seeks to better detect electrical signals across heart layers by focusing on QS potentials, potentially identifying breakthrough sites between the epicardium and endocardium. Participants receive either the QS-potential guided ablation or standard ablation, with follow-up planned at 3 months post-procedure. The trial is led by the China National Center for Cardiovascular Diseases at Fuwai Hospital in Beijing and includes adults up to 80 years old, including those with recurrent AF after prior ablation. Key eligibility requires planned AF ablation, the ability to consent, and adherence to follow-up, while exclusions include reduced heart function, severe valve disease, intracardiac thrombus, contraindications to anticoagulation, infection, pregnancy, limited life expectancy, or recent interventional trial participation.
Why it matters
Potential benefit: If successful, patients may experience improved ablation outcomes and reduced AF recurrence through more precise, layer-spanning electrical mapping.
How similar studies have gone: Previous mapping-guided ablation approaches have shown mixed results; this study aims to test a novel unipolar QS-potential mapping strategy for potential added benefit.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age ≥ 18 years and ≤ 80 years * Documented diagnosis of atrial fibrillation (paroxysmal or persistent) * Planned to undergo catheter ablation for AF (including patients with recurrent AF after prior ablation) * Able and willing to provide written informed consent * Able to complete scheduled follow-up visits (3 months post-ablation) Exclusion Criteria: * Left ventricular ejection fraction \< 35% * Severe valvular heart disease (moderate to severe mitral stenosis or regurgitation) * History of intracardiac thrombus * Contraindication to anticoagulation * Active infection or sepsis * Pregnancy or breastfeeding * Life expectancy \< 12 months due to comorbid conditions * Participation in another interventional clinical trial within 30 days prior to enrollment
Where it's running
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Fuwai Hospital
Beijing, Beijing Municipality, China Recruiting
Study contacts
- Study coordinator: Aiju Tian
- Email: taj2015@163.com
- Phone: +8618811592092
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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.