Pulsed field ablation for atrial fibrillation in underrepresented minority patients
Official title: Prospective Multicenter Registry on the Clinical Outcomes and Safety of PFA for Atrial Fibrillation in Underrepresented Minorities (REPRESENT-PF Registry)
Run by Icahn School of Medicine at Mount Sinai · NCT07535268 · Data updated 2026-11-12
This registry will test how well Boston Scientific pulsed field ablation works and how safe it is for Black, Hispanic, Asian, and other underrepresented adults with paroxysmal or persistent atrial fibrillation.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 275 (estimated) |
| Sponsor | Icahn School of Medicine at Mount Sinai Academic / other |
| Locations | 2 sites (New York, New York and 1 other locations) |
| Status | Recruiting |
| Started | March 30, 2026 |
| Main results expected | March 1, 2028 |
| Study ends | March 1, 2028 |
| Registry record updated | April 17, 2026 |
| Trial ID | NCT07535268 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18) who identify as racial or ethnic minorities with symptomatic paroxysmal or persistent AF who are candidates for de novo ablation using Boston Scientific PFA catheters and can provide consent and attend follow-up are ideal candidates.
✕Probably not a fit
Patients with long-standing persistent AF (>1 year), those enrolled in other investigational trials, or those undergoing repeat ablation not originally in the registry are excluded and unlikely to benefit from this registry's findings.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
REPRESENT-PF is a pragmatic, prospective, single-arm, multi-center observational registry that enrolls consecutive racial and ethnic minority patients undergoing de novo pulsed field ablation (PFA) for symptomatic paroxysmal or persistent atrial fibrillation using FDA‑approved Boston Scientific PFA catheters. All data collected are from standard-of-care procedures and scheduled baseline and follow-up visits. The registry will capture safety events, procedural details, and effectiveness outcomes to describe real-world performance of PFA in populations historically underrepresented in AF ablation research. Sites include participating U.S. centers such as The Mount Sinai Hospital (New York) and Valley Health System (Winchester, Virginia).
Why it matters
Potential benefit: If successful, the registry could clarify PFA safety and effectiveness in minority populations and help expand equitable access to catheter ablation for AF.
How similar studies have gone: Pulsed field ablation has shown promising safety and at least comparable efficacy to thermal techniques in prior early studies, but registries specifically focused on underrepresented minorities are limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * All consecutive patients classified as racial or ethnic minorities undergoing ablation using Boston Scientific FDA approved PFA catheters for AF will be included. * De novo ablation for symptomatic paroxysmal and persistent AF (Age ≥ 18) (unless it is a repeat for a patient whose index procedure is also in the registry) who are deemed to be candidates for AF ablation by the investigator. * Able and willing to participate in baseline and follow up evaluation over the study period * Willing and able to provide informed consent, if applicable. Exclusion Criteria: * Enrolled in an investigational drug or device clinical trial or any other trial with outlined treatment plan * Long standing persistent AF (AF \> 1 year duration) * Repeat ablation, unless index ablation procedure was in the REPRESENT-PF registry * Any known contra-indication to ablation procedure at the discretion of the investigator
Where it's running
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The Mount Sinai Hospital
New York, New York, United States Recruiting -
Valley Health System
Winchester, Virginia, United States Recruiting
Study contacts
- Principal investigator: Vivek Reddy, MD — Icahn School of Medicine at Mount Sinai
- Study coordinator: Devin Chamberlain
- Email: devin.chamberlain@mountsinai.org
- Phone: (646) 984-1049
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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FARAPULSE pulsed-field waveform treatment for paroxysmal and persistent atrial fibrillation
This will test new pulsed electrical waveforms delivered by the FARAPULSE PFA system to treat adults with paroxysmal or persistent atrial fibrillation.
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Arrhythmia mapping with a paddle-shaped multi-electrode catheter
This test uses a new high-density multi-electrode catheter to see if it can safely map atrial and ventricular arrhythmias in adults having catheter mapping and ablation.
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Real-world experience of catheter ablation for atrial fibrillation
This study is trying to see how well catheter ablation works for treating atrial fibrillation in real-life settings and what the outcomes are for patients over time.
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Conscious Sedation vs General Anesthesia for Pulsed Field Ablation in Paroxysmal Atrial Fibrillation
This trial tests whether local anesthesia with conscious sedation can match general anesthesia for pulsed field ablation in adults with paroxysmal atrial fibrillation.
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FARAFLEX Mapping and Pulsed Field Ablation for Atrial Fibrillation
This trial tests the FARAFLEX Mapping and PFA System to see if it can safely help adults with drug-refractory paroxysmal or persistent atrial fibrillation.
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Left Atrial Appendage Occlusion and Rhythm Restoration in AF Patients
This trial tests a combined procedure using the Volt PFA System and Amulet 2 to see if it safely and feasibly treats atrial fibrillation while also closing the left atrial appendage in adults with AF.
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.