Rate Control in Atrial Fibrillation

Overview[ - collapse ][ - ]

Purpose Rate control in atrial fibrillation is a usual battle in emergency departments. Oral medications have a natural superiority to intravenous ones because they are easy-to-use and decrease the workload in busy emergency departments. This study wants to find an effective oral medication for rate control in rapid ventricular response atrial fibrillation. Propranolol and Metoprolol, Diltiazem and Verapamil are compared in patients with a stable hemodynamic status.
ConditionRapid Ventricular Response Atrial Fibrillation
InterventionDrug: Propranolol
Drug: Metoprolol
Drug: Verapamil
Drug: Diltiazem
PhasePhase 4
SponsorTehran University of Medical Sciences
Responsible PartyTehran University of Medical Sciences
ClinicalTrials.gov IdentifierNCT01655303
First ReceivedJuly 30, 2012
Last UpdatedJuly 30, 2012
Last verifiedJuly 2012

Tracking Information[ + expand ][ + ]

First Received DateJuly 30, 2012
Last Updated DateJuly 30, 2012
Start DateFebruary 2011
Estimated Primary Completion DateDecember 2011
Current Primary Outcome MeasuresRate less than 100 per minute [Time Frame: In 1 hour] [Designated as safety issue: No]Ventricular rate less than 100 per minute after 1 hour of per oral medication administration
Current Secondary Outcome Measures
  • Drugs adverse effects [Time Frame: 2 hours] [Designated as safety issue: Yes]Drugs adverse effects seen in patients in 2 hours after per oral medication administration
  • Unstability in hemodynamic [Time Frame: 2 hours] [Designated as safety issue: Yes]Hemodynamic instability (systolic blood pressure less than 90 mmHg, loss of consciousness, pulmonary edema, chest pain)

Descriptive Information[ + expand ][ + ]

Brief TitleRate Control in Atrial Fibrillation
Official TitleOral Propranolol, Diltiazem, Metoprolol and Verapamil in Atrial Fibrillation Rate Control in Patients With Stable Hemodynamic Status
Brief Summary
Rate control in atrial fibrillation is a usual battle in emergency departments. Oral
medications have a natural superiority to intravenous ones because they are easy-to-use and
decrease the workload in busy emergency departments.

This study wants to find an effective oral medication for rate control in rapid ventricular
response atrial fibrillation. Propranolol and Metoprolol, Diltiazem and Verapamil are
compared in patients with a stable hemodynamic status.
Detailed DescriptionNot Provided
Study TypeInterventional
Study PhasePhase 4
Study DesignAllocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver), Primary Purpose: Treatment
ConditionRapid Ventricular Response Atrial Fibrillation
InterventionDrug: Propranolol
Other Names:
InderalDrug: Metoprolol
Other Names:
MetoralDrug: Verapamil
Drug: Diltiazem
Study Arm (s)
  • Experimental: Metoprolol Per Oral
    50 mg Metoprolol
  • Experimental: Verapamil
    40 mg Verapamil Per Oral
  • Experimental: Propranolol
    40 mg Propranolol Per Oral
  • Experimental: Diltiazem
    60 mg Diltiazem Per Oral

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated Enrollment90
Estimated Completion DateDecember 2011
Estimated Primary Completion DateDecember 2011
Eligibility Criteria
Inclusion Criteria:

- Age more than 18 years old

- Stability in hemodynamic

Exclusion Criteria:

- Systolic blood pressure less than 90 mm Hg

- Altered mental status attributable to rapid ventricular response atrial fibrillation

- Acute pulmonary edema attributable to rapid ventricular response atrial fibrillation

- Chest pain attributable to rapid ventricular response atrial fibrillation

- Allergy to Propranolol or Metoprolol or Verapamil or Diltiazem

- History of asthma
GenderBoth
Ages18 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesIran, Islamic Republic of

Administrative Information[ + expand ][ + ]

NCT Number NCT01655303
Other Study ID Numbers16057
Has Data Monitoring CommitteeNot Provided
Information Provided ByTehran University of Medical Sciences
Study SponsorTehran University of Medical Sciences
CollaboratorsNot Provided
Investigators Not Provided
Verification DateJuly 2012

Locations[ + expand ][ + ]

Rasoul-e-Akram Hospital
Tehran, Iran, Islamic Republic of, 14436151