Understanding why AF happens and is harder to treat in hypertrophic cardiomyopathy
Official title: Mechanisms of Atrial Pathoelectrophysiology in HCM
Run by Guy's and St Thomas' NHS Foundation Trust · NCT07454135 · Data updated 2026-11-12
We’re testing how heart electrical signals and advanced imaging relate to atrial fibrillation in people with hypertrophic cardiomyopathy to see if treatments can be improved.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 80 Years |
| Sex | All |
| Enrollment | 40 (estimated) |
| Sponsor | Guy's and St Thomas' NHS Foundation Trust Academic / other |
| Locations | 1 site (London) |
| Status | Recruiting |
| Started | May 26, 2026 |
| Main results expected | September 30, 2027 |
| Study ends | September 30, 2027 |
| Registry record updated | September 11, 2026 |
| Trial ID | NCT07454135 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults ages 18-80 with hypertrophic cardiomyopathy and paroxysmal or persistent AF planing ablation after clinical consultation.
✕Probably not a fit
Patients not undergoing ablation or without HCM-related AF may not benefit from the findings.
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 examines why atrial fibrillation occurs more often and is harder to treat in patients with hypertrophic cardiomyopathy. Researchers will analyze electrical heart signals and use advanced imaging to map AF behavior in HCM patients. The goal is to gain insights that could inform better treatment strategies for this overlap. Participation is limited to adults with AF and HCM who are planning ablation and can complete follow-up. No interventions are being tested in this study.
Why it matters
Potential benefit: If successful, the study could guide more effective future treatments for people with both HCM and AF.
How similar studies have gone: Previous research in related areas has shown promise in linking electrical patterns to AF behavior, but this exact combination in HCM is less established.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Paroxysmal or persistent atrial fibrillation * Diagnosis of hypertrophic cardiomyopathy * Patient planning to proceed to atrial fibrillation ablation following clinical consultation * Age 18-80 years * Able and willing to provide written informed consent * Able and willing to comply with study follow up requirements Exclusion Criteria: * Any clinical contra-indication to ablation * Any disease limiting life expectancy to \<1 year * Potential participant currently pregnant or breast feeding * Contraindication to MRI including renal dysfunction (eGFR\<30ml/min) * Unable to understand verbal or written explanations given in English
Where it's running
-
Guy's and St Thomas' NHS Foundation Trust
London, United Kingdom Recruiting
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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.