Clinical trial Recruiting at 1 site Observational Ages 18 to 80

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.

More Atrial Fibrillation (AF) trials

Quick facts

Study typeObservational
Ages18 Years to 80 Years
SexAll
Enrollment40 (estimated)
SponsorGuy's and St Thomas' NHS Foundation Trust
Academic / other
Locations1 site (London)
StatusRecruiting
StartedMay 26, 2026
Main results expectedSeptember 30, 2027
Study endsSeptember 30, 2027
Registry record updatedSeptember 11, 2026
Trial IDNCT07454135 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.