RecruitingNot ApplicableNCT06308094

320-detector Computed Tomography to Assess Myocardial Extracellular Volume Fraction in Patients With Atrial Fibrillation Before AF Ablation.

Sponsor

Johns Hopkins University

Enrollment

100 participants

Start Date

Apr 10, 2025

Study Type

INTERVENTIONAL

Conditions

Atrial Fibrillation

Summary

This study explores the relationship between myocardial fibrosis and patient outcomes in Atrial Fibrillation (AF), specifically after catheter ablation. It aims to use Cardiac CT, an accessible tool, to measure left ventricular extracellular volume (ECV) as an indicator of fibrosis. The study will assess if higher ECV levels correlate with increased risks of AF recurrence, hospitalization, and poor cardiac function recovery. Positive findings could make ECV a key factor in deciding AF treatment strategies.

Eligibility

Min Age: 21 Years

Inclusion Criteria5

Patients must be at least 21 years old at the time of enrollment.
Patients must be able to give informed consent.
Patients with symptomatic paroxysmal/persistent atrial fibrillation (AF).
Eligible patients must be determined to be suitable candidates for ablation to treat AF by their cardiologist and/or electrophysiologists regardless of this protocol.
Patients are scheduled to have a pre-procedure cardiac CT upon the discretion of their electrophysiologists

Exclusion Criteria9

Known allergy to iodinated contrast media.
Elevated serum creatinine (\> 1.5mg/dl) OR calculated creatinine clearance of \< 60 ml/min (using the Cockcroft-Gault formula).
Patients with a positive urine or serum pregnancy test will be excluded from this study.
Patients with heart transplantation.
Patients with polymorphic ventricular tachycardia (VT) or presenting in electrical storm.
Presence of any other history or condition that the investigator feels would be problematic.
Patient with iodinated contrast administration for other reason 24 hours prior to investigational CT.
Patients who have a heart pacemaker, metallic foreign body (metal sliver) in their eye, or who have an aneurysm clip in their brain, mechanical heart valves and prosthetics that contain metal.
Patients with severe claustrophobia.

Interventions

DIAGNOSTIC_TESTCT

Pre-ablation CT is clinically acquired in patients undergoing catheter ablation. This study entails additional acquisition of the left ventricle to assess extracellular volume (ECV)