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Compares two defibrillator devices for restoring normal heart rhythm in atrial fibrillation

Compares two defibrillator devices in adults with atrial fibrillation undergoing electrical cardioversion.

Plain-language title generated from the registry record
Registry title: MAX - SHOCK Clinical Trial

Key facts

Where
Ottawa, CanadaSee the site

Where in Canada

  • University of Ottawa Heart InstituteOttawa, CanadaTaking people

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Trial details

Who runs it
Ottawa Heart Institute Research Corporation
Trial code
NCT06556667
Record updated
3 February 2026
Original description
Can Electrical Cardioversion (ECV) for AF be improved. It is the preferred method to restore sinus rhythm in patients with AF in whom a rhythm-control strategy is pursued.Read full original descriptionShow less

Comparison of Maximum Energy Shocks From Two Defibrillator Vendors MAX - SHOCK- A Randomized Controlled Clinical Trial

Can Electrical Cardioversion (ECV) for AF be improved. It is the preferred method to restore sinus rhythm in patients with AF in whom a rhythm-control strategy is pursued.

Hypothesis:

ECV success rates will be greater with a biphasic defibrillator with maximum energy of 360J (® Physio-Control) compared to a biphasic defibrillator with maximum energy of 200J (® Zoll)

Inclusion: Patients age > 18 years; Persistent atrial fibrillation; Scheduled for elective cardioversion at UOHI; Patient is within the circle of care of UOHI Electrophysiology staff.

Exclusion: Known left-atrial appendage thrombus; Contraindication to appropriate anticoagulation; Patient is included in another randomized clinical trial; Patient does not meet all of the above listed inclusion criteria.

ClinicalTrials.gov NCT06556667