NCT04622514Completed
New Model of Integrated Care of Older Patients With Atrial Fibrillation in Rural China
A New Model of Integrated Care of Older Patients With Atrial Fibrillation in Rural China: a Cluster Randomization Trial (the MIRACLE-AF Trial)
Source: ClinicalTrials.gov · Last updated 26 Jul 2024
Brief summary (registry, in English)
This cluster randomization study aims to compare the village-doctor led telemedicine integrated care versus usual care to improve compliance with the Atrial Fibrillation Better Care (ABC) pathway components and outcomes for older patients with atrial fibrillation in rural China.
- Status (registry)
- Completed
- Study type
- Interventional
- Enrollment
- 1039 (actual)
- First submitted
- 18 Oct 2020
- Start date
- 1 Dec 2020
- Primary completion date
- 9 May 2024
- Lead sponsor
- The First Affiliated Hospital with Nanjing Medical University
- Diseases
- Stroke, Atrial fibrillation
- NCT number
- NCT04622514
What you commit to
- Study type: Interventional
- Participants enrolled: 1039
- From 1 Dec 2020 to the primary completion date, 9 May 2024
- 1 site 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
- Cardiac ablation or surgery \<3 months prior to inclusion or being planned.
Other illness
- Moderate to severe rheumatic mitral stenosis or heart valve replacement history.
Other
- Presence of ICD or CRT device.
- Pulmonary vein isolation or left atrial appendage occlusion history or plan to perform any of the above operations.
- The life expectancy is less than 1 year.
- Participation in other clinical trials.
- \-
Who the study is looking for
- 1\. The village clinics need to be willing and able to provide integrated care to their patients with atrial fibrillation; 2. The village doctors from one village clinic serves all AF patients from 3-5 nearby villages; 3. The village doctors are trained to have a fundamental understanding of telemedicine; 4. Patients are eligible for participation if 1) they are aged 65 years or above; 2) they are diagnosed atrial fibrillation by an ECG, AF specialist, or hospital discharge letter; 3) they agree to receive the medical care provided by village clinics; 4) they provide written informed consent.
- \-
Age in the registry: 65 years to - · Sex: All · Does not accept healthy volunteers
Sites (1)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| The First Affiliated Hospital of Nanjing Medical University Coordinator of this site? Confirm its status | Nanjing | China | Unknown status |
Related publications
- Heterogeneity of Treatment Effect of ABC Pathway-Based Care in Older Atrial Fibrillation: Insights from the mAFA-II and MIRACLE-AF Trials Using a Causal Machine Learning Approach.Heart Rhythm · 2026 · PMID 42963029
- Cognitive function and telemedicine-based, village doctor-led care for atrial fibrillation.Europace · 2026 · PMID 42663407
- Village Doctor-Led Telemedicine for Rural Patients Aged 75 Years and Older With AF: A Prespecified Secondary Analysis of the MIRACLE-AF Trial.JAMA Netw Open · 2026 · PMID 41817526
This page is information, not medical advice. Discuss any trial with your doctor.