Understanding how autonomic function affects atrial fibrillation recurrence after heart procedure

The Impact of Autonomic Function on Recurrence Following Circumferential Pulmonary Vein Ablation for Atrial Fibrillation

China National Center for Cardiovascular Diseases · NCT06202209

This study is trying to see how the body's nervous system affects the chances of atrial fibrillation coming back after a heart procedure called pulmonary vein isolation.

Quick facts

Study typeObservational
Enrollment100 (estimated)
Ages18 Years to 75 Years
SexAll
SponsorChina National Center for Cardiovascular Diseases (other gov)
Locations1 site (Beijing)
Trial IDNCT06202209 on ClinicalTrials.gov

What this trial studies

This observational study aims to explore the relationship between autonomic nervous system function and the recurrence of atrial fibrillation (AF) following circumferential pulmonary vein isolation (CPVI). By assessing changes in autonomic function in patients diagnosed with paroxysmal AF, the study seeks to identify predictors for both early and late AF recurrence post-ablation. The research is grounded in the hypothesis that improved understanding of autonomic changes can enhance the success rates of AF treatments and potentially lead to better patient outcomes. The study will involve patients who have consented to participate and are willing to undergo CPVI treatment.

Who should consider this trial

Good fit: Ideal candidates for this study are adults aged 18 to 75 diagnosed with paroxysmal atrial fibrillation who are willing to undergo CPVI treatment.

Not a fit: Patients with a history of previous ablation procedures, severe pulmonary diseases, or other significant cardiac conditions may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved strategies for preventing atrial fibrillation recurrence, enhancing patient quality of life.

How similar studies have performed: Previous studies have indicated that understanding autonomic function can influence AF treatment outcomes, suggesting potential success for this approach.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Sign the informed consent form;
2. Clearly diagnosed as paroxysmal AF, willing to receive CPVI treatment;
3. A class I or class III antiarrhythmic drug with poor efficacy, or intolerance to drugs.

Exclusion Criteria:

1. Diagnosis of sinus rhythm at recruitment;
2. Age is \<18 years old or\> 75 years old;
3. Transthoracic echocardiography suggested a left atrial anterior and posterior diameter of\> 55mm;
4. Previous history of catheter ablation or surgical ablation for AF;
5. Left atrial thrombus recorded by ultrasound or CT;
6. With severe pulmonary diseases;
7. Previous history of cardiac surgery;
8. Patients with hyperthyroidism, atrial septal defect, mitral valve stenosis or severe coronary heart disease who need further treatment;
9. During pregnancy or lactation.

Where this trial is running

Beijing

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: Atrial Fibrillation Recurrent, Early recurrent atrial arrhythmia, Cardioneuroablation, Automatic function

Last reviewed 2026-05-15 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.