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NCT04371055Active, not recruiting

Intensive Rhythm Monitoring to Decrease Ischemic Stroke and Systemic Embolism - the Find-AF 2 Study

Intensive Heart Rhythm Monitoring to Decrease Ischemic Stroke and Systemic Embolism - the Find-AF 2 Study

Source: ClinicalTrials.gov · Last updated 28 Aug 2026

Brief summary (registry, in English)

Patients who have suffered a stroke are having an increased risk of having recurrent stroke in the future. This risk of stroke is increased by atrial fibrillation, which often "comes and goes" (called paroxysmal) and hence escapes routine diagnostics. The hypothesis of Find-AF 2 is that enhanced (evaluation in a ECG core lab), prolonged (at least 7 days of rhythm monitoring annually) and intensified (continuous rhythm monitoring in high risk patients) not only finds atrial fibrillation more often, but that changes in therapeutic management (e. g. start of anticoagulation after detection of atrial fibrillation) results in a decrease of cardioembolism (which can be either recurrent stroke or systemic embolism). To prove this hypothesis, patients will be randomised into two groups: the first group will receive the currently available standard care for patients with stroke. In the second group, cardiac rhythm monitoring adapted to the risk of the occurrence of atrial fibrillation is performed - either with a 7-day long-term ECG (at baseline, after 3 and 12 months and every 12 months thereafter) or with continuous monitoring using an implantable cardiac monitor. If atrial fibrillation is detected, this information will be given to the treating study physician. Any therapeutic decision is at the discretion of the treating physician, but should follow current guidelines.

Status (registry)
Active, not recruiting
Study type
Interventional
Enrollment
5227 (actual)
First submitted
24 Apr 2020
Start date
7 Jul 2020
Primary completion date
30 Jun 2027
Lead sponsor
University of Leipzig
NCT number
NCT04371055

What you commit to

  • Study type: Interventional
  • Participants enrolled: 5227
  • From 7 Jul 2020 to the primary completion date, 30 Jun 2027
  • 52 sites in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Patient not willing to be treated with oral anticoagulants

Other illness

  • Known history of atrial fibrillation/flutter or atrial fibrillation/flutter on admission ECG
  • Intracerebral bleeding in medical history
  • Carotid artery stenosis ipsilateral to the current ischemic stroke needing operation or intervention.
  • History of carotid endarterectomy or percutaneous intervention of cerebral artery within the last 30 days.
  • Life expectancy \<1 year for reasons other than stroke (e.g. metastatic cancer)
  • psychological/mental or other inabilities to supply required information (e.g. fill out the questionnaire due to dementia, language difficulties,...) or participate in the required tests

Other

  • Current indication or contraindication for oral anticoagulation at randomisation
  • Patient scheduled for ECG-monitoring lasting \> 7 days (Holter-ECG, implanted loop recorder, etc.)
  • Implanted pacemaker device or cardioverter/ defibrillator
  • patients under legal supervision or guardianship
  • participation in other randomised interventional trials
  • suspected lack of compliance

Who the study is looking for

  • Recent ischemic stroke (sudden focal neurologic deficit lasting \> 24h consistent with the territory of a major cerebral artery) and/or a corresponding lesion on brain imaging within the last 30 days
  • Age ≥ 60 years
  • Patient without or with only slight disability (modified Rankin Scale score ≤ 2) before onset of stroke-related symptoms.
  • Written informed consent

Age in the registry: 60 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (52)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Klinikum Altenburger Land
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AltenburgGermanyUnknown status
Klinikum Aschaffenburg-Alzenau
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AschaffenburgGermanyUnknown status
Universitätsklinikum Augsburg
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AugsburgGermanyUnknown status
RHÖN-KLINIKUM Campus Bad Neustadt
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Bad Neustadt an der SaaleGermanyUnknown status
Sozialstiftung Bamberg Klinikum am Bruderwald
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BambergGermanyUnknown status
Vivantes, Humboldt-Klinikum Berlin
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BerlinGermanyUnknown status
Vivantes Klinikum Neukölln Berlin
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BerlinGermanyUnknown status
BG Klinikum, Unfall-KH Berlin gGmbH
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BerlinGermanyUnknown status
Vivantes Klinikum Spandau
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Berlin-SpandauGermanyUnknown status
Evangelisches Klinikum Bethel, Klinik für Neurologie
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BielefeldGermanyUnknown status
Universitätsklinikum Bonn
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BonnGermanyUnknown status
Klinikum Bremen-Mitte
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BremenGermanyUnknown status
Klinikum Coburg, Medizinische Klinik für Innere Medizin und Kardiologie
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CoburgGermanyUnknown status
Klinikum Darmstadt
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DarmstadtGermanyUnknown status
Städtisches Klinikum Dresden, Standort Friedrichstadt
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DresdenGermanyUnknown status
Universitätsklinikum Carl Gustav Carus
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DresdenGermanyUnknown status
Universitätsklinikum Erlangen
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ErlangenGermanyUnknown status
University of Essen, Clinic for Neurology
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EssenGermanyUnknown status
Klinikum Frankfurt Höchst
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FrankfurtGermanyUnknown status
Universitätsklinikum Frankfurt
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FrankfurtGermanyUnknown status
Klinikum Fulda
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FuldaGermanyUnknown status
Universitätsklinikum Gießen und Marburg GmbH
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GiessenGermanyUnknown status
University of Göttingen, Clinic for Neurology
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GöttingenGermanyUnknown status
Bezirkskrankenhaus Günzburg
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GünzburgGermanyUnknown status
Krankenhaus Martha-Maria Halle-Dolau
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HalleGermanyUnknown status
Asklepios Klinik Wandsbek, Hamburg
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HamburgGermanyUnknown status
Albertinenkrankenhaus Hamburg
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HamburgGermanyUnknown status
Asklepios Klinik Altona Hamburg
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HamburgGermanyUnknown status
Universitätsklinikum Hamburg-Eppendorf
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HamburgGermanyUnknown status
Medizinische Hochschule Hannover
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HanoverGermanyUnknown status
Universitätsklinikum Heidelberg
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HeidelbergGermanyUnknown status
Klinikum Höxter
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HöxterGermanyUnknown status
Klinikum Ibbenbüren
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IbbenbuerenGermanyUnknown status
Klinikum St. Georg Leipzig
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LeipzigGermanyUnknown status
University of Leipzig, Clinic for Neurology
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LeipzigGermanyUnknown status
Städtisches Klinikum Lüneburg gemeinnützige GmbH
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LüneburgGermanyUnknown status
University of Mainz, Clinic for Neurology
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MainzGermanyUnknown status
Carl-von-Basedow Klinikum Merseburg
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MerseburgGermanyUnknown status
Klinikum Minden
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MindenGermanyUnknown status
Ökumenisches Hainich Klinikum Mühlhausen
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MühlhausenGermanyUnknown status
ISD München
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MünchenGermanyUnknown status
Universitätsklinikum Münster
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MünsterGermanyUnknown status
Klinikum Nürnberg
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NurembergGermanyUnknown status
Klinikum Osnabrück GmbH
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OsnabrückGermanyUnknown status
Klinikum Passau
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PassauGermanyUnknown status
Nordwest-Krankenhaus Sanderbusch, Klinik für Neurologie
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SandeGermanyUnknown status
Kreisklinikum Siegen
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SiegenGermanyUnknown status
Kliniken Südostbayern AG, Klinikum Traunstein
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TraunsteinGermanyUnknown status
Universitätsklinikum Tübingen
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TübingenGermanyUnknown status
Universitätsklinikum Ulm
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UlmGermanyUnknown status
Helios Dr. Horst Schmidt Kliniken Wiesbaden
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WiesbadenGermanyUnknown status
Universitätsklinikum Würzburg
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WürzburgGermanyUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.