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NCT07560644Not yet recruitingPhase 2/3

Restoring Sinus Rhythm Using Dual-Shock Technique in Patients With Atrial Fibrillation

Restoring Sinus Rhythm Using DUAL-electrical SHOCK Technique: the DUAL-SHOCK Trial

Source: ClinicalTrials.gov · Last updated 28 Jul 2026

Brief summary (registry, in English)

The goal of this clinical trial is to assess the efficacy and acute safety of the dual electrical cardioversion (ECV) technique compared with the conventional ECV in patients with persistent atrial fibrillation. The main question it aims to answer are: * Is dual ECV more effective than conventional ECV to achieve sinus rhythm restoration? * Is dual ECV safe compared with conventional ECV? * Which are the main factors associated with cardioversion success? Researchers will compare a dual ECV technique with 400J with dual ECV with 200J and conventional ECV. Participants will be randomized to one ECV configuration. The primary efficacy endpoint will be considered the percentage of patients with successful cardioversion with the first shock. The coprimary safety endpoint will be the occurrence of adverse events during ECV.

Status (registry)
Not yet recruiting
Phase (registry)
Phase 2/3
Study type
Interventional
Enrollment
177 (estimated)
First submitted
21 Apr 2026
Start date
Aug 2026
Primary completion date
Dec 2027
Lead sponsor
Martín Negreira Caamaño, MD, PhD
NCT number
NCT07560644

What you commit to

  • Study type: Interventional · Phase 2/3
  • Planned participants: 177
  • From Aug 2026 to the primary completion date, Dec 2027
  • No sites listed in no 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 defibrillation following catheter ablation procedures. Cardiac defibrillation performed during the same procedure will be permitted if it is carried out prior to ablation.

Age

  • Age \<18 years or legal incapacity.

Other

  • Long-standing persistent atrial fibrillation (more than 1 year of uninterrupted AF rhythm).
  • Emergency indication (hemodynamic instability).
  • Pregnancy.

Who the study is looking for

  • Diagnosis of persistent AF.
  • Effective anticoagulation for at least 3 weeks prior to the procedure or exclusion of intra-atrial thrombus by transesophageal echocardiography within the last 24 hours.
  • Informed consent obtained.

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

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