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Mild Sedation Method for Heart Rhythm Procedure in Atrial Fibrillation Patients

Tests a light sedation drug mix during heart rhythm treatment in adults with atrial fibrillation.

Plain-language title generated from the registry record
Registry title: Remimazolam-Fentanyl Mild Conscious Sedation Regimen in Pulsed-Field Ablation for Paroxysmal Atrial Fibrillation

Key facts

Where
Prague, CzechiaSee the site

AI summary: who the study is looking for

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for adults with paroxysmal or persistent atrial fibrillation who are having pulsed-field ablation and agree in writing to take part.

Age
Above 18 years
Sex
All sexes can join.
Disease stage
Paroxysmal or persistent atrial fibrillation (AF).
Earlier treatment
People taking benzodiazepine drugs (or other sedative drugs, at the anaesthesiologist's discretion) cannot join.

Main reasons for not taking part

  • BMI above 35kg/m2
  • Left ventricle ejection fraction (EF) below 40%
  • Sleep apnoea (OSA) syndrome on therapy, or an expected difficult airway
  • Severe COPD, severe pulmonary hypertension, or significant valve disease (3/4 or more)
  • Symptomatic heart failure or myasthenia gravis

Read by machine on 9 November 2026.

Where in Czechia

  • University Hospital Kralovske VinohradyPrague, CzechiaTaking people

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?
Print a page for my doctor

Trial details

Who runs it
Charles University, Czech Republic
Trial code
NCT07734194
Record updated
29 July 2026
Original description
This prospective single-arm study will evaluate whether mild conscious sedation using remimazolam with fentanyl is a feasible alternative to deeper sedation or general anaesthesia during FARAPULSETM pulsed-field ablation for paroxysmal atrial fibrillation, with careful periprocedural monitoring and assessment of both sedation-related safety outcomes and patient-reported procedural experience.Read full original descriptionShow less

Remimazolam-Fentanyl Mild Conscious Sedation Regimen in Pulsed-Field Ablation for Paroxysmal Atrial Fibrillation

This prospective single-arm study will evaluate whether mild conscious sedation using remimazolam with fentanyl is a feasible alternative to deeper sedation or general anaesthesia during FARAPULSETM pulsed-field ablation for paroxysmal atrial fibrillation, with careful periprocedural monitoring and assessment of both sedation-related safety outcomes and patient-reported procedural experience.

Inclusion: Age above 18y Paroxysmal or persistent AF written agreement with inclusion to the study.

Exclusion: BMI > 35kg/m2 EF of the left ventricle < 40% OSA syndrome on therapy anticipated difficult airway severe COPD significant valvulopathy (3/4 or more) symptomatic heart failure irrespective of ejection fraction severe pulmonary hypertension benzodiazepine drugs medication (or other sedative drugs at the discretion of the anesthesiologist) myasthenia gravis.

ClinicalTrials.gov NCT07734194