Valvular & structural heart disease

Flecainide to prevent atrial arrhythmia after patent foramen ovale closure, Rationale and design of the randomized AFLOAT study

Eur Heart J Cardiovasc PharmacotherPublished Randomised controlled trial

Study context

Population
Patients immediately after patent foramen ovale (PFO) closureplanned
Participants
186 participants
Planned comparison
Flecainide for 6 months or 3 months vs no additional treatment after PFO closure
Primary endpoint
Percentage of patients with ≥1 symptomatic or asymptomatic atrial arrhythmia episode (≥30 s) on insertable cardiac monitor
Follow-up
Within 3 months after PFO closure
Methodological detailsrationale and design, prospective, national, multicentre, open-label, superiority, blinded endpoint evaluation (PROBE design), 1:1:1 randomisation
  • Rationale and design
  • Prospective
  • National
  • Multicentre
  • Open-label
  • Superiority
  • Blinded endpoint evaluation (PROBE design)
  • 1:1:1 randomisation

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

Flecainide to prevent atrial arrhythmia after patent foramen ovale closure, Rationale and design of the randomized AFLOAT study. Eur Heart J Cardiovasc Pharmacother. Published 12 January 2024. doi:10.1093/ehjcvp/pvad100

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