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CompletedNCT03715361Updated Mar 10, 2020

AF Stroke Substudy SL-ECG Versus 12lead ECG

An observational study in ECG, Atrial Fibrillation and ECG Hand-held Diagnostic Tool, sponsored by RWTH Aachen University. Completed at 1 site in Germany. Per ClinicalTrials.gov, last updated 2020-03-10.

Sponsored by RWTH Aachen University · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
550
Sex
All
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Study summary

The purpose of the study is to compare parameters obtained per SL-ECG with the values from 12lead-ECG measurement. Patients who undergo out- or inpatient treatment and who receive a 12lead-ECG are asked to participate in this examination. Furthermore, 50 patients without heart disease should be included (control group).

Read the detailed description

Atrial fibrillation is the most common cardiac arrhythmia in Germany. Clinical studies have shown that atrial fibrillation is associated with increased morbidity and mortality and reduced quality of life. Patients with atrial fibrillation have a three times higher risk of heart failure and a four to five times higher risk of ischemic stroke. In addition to these risks, atrial fibrillation is often asymptomatic and therefore more difficult to diagnose. It is estimated that about one third of all atrial fibrillation patients are asymptomatic.

For this reason, the study "Opportunistic Screening in Pharmacies for Atrial Fibrillation in Seniors" was conducted in Aachen. Within four weeks more than 7000 volunteers could be measured in participating pharmacies using a ECG hand-held diagnostic tool. Since the already measured subjects only have the SL-ECG measurement of the hand-held diagnostic tool, the aim of this substudy is to establish a reference group. In this reference group a 12lead-ECG is performed by routine ECG and a SL-ECG measurement by ECG hand-held diagnostic tool. The aim of the study is to compare the measured parameters and to optimize the algorithm to evaluate the remaining SL-ECGs of the main study.

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Conditions studied

  • ECG
  • Atrial Fibrillation
  • ECG Hand-held Diagnostic Tool

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Keywords

  • ECG measurement
  • AF-Stroke
  • Germany
  • Electrocardiogram
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In context

Atrial Fibrillation

3,870 studies on the registry are indexed under Atrial Fibrillation; 924 are open to participants now.

This study's enrollment of 550 is above the median of 300 across 1,363 observational studies indexed under Atrial Fibrillation.

Browse Atrial Fibrillation studies →

Lead sponsor

RWTH Aachen University is the lead sponsor of 228 studies on the registry; 19 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Patients and volunteers that meets the inclusion criteria and are not affected by the exclusion criteria are allowed to participate in this study.

Inclusion criteria

  • Patient is 18 years old, for minors the signature of the legal guardian is required.
  • Understanding of the essence, meaning and scope of the study.
  • Patients (in-/outpatient) who receive a 12lead ECG through Medical Clinic 1.
  • Volunteers who are willing to have a 12lead ECG and an SL-ECG performed and provide medical information.
  • Signed informed consent

Exclusion criteria

Exclusion Criteria:

  • Insufficient language skills
  • Limited cognitive abilities
  • Limited physical abilities (i.e. tremor)
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
550 participants (actual)
Patient registry
No

Groups and cohorts

  • Patients

    Patients (500 patients ≤ ) who undergo out- or inpatient treatment and who did a 12lead-ECG measurement, repeat the procedure using the hand-held diagnostic tool (SL-ECG).

    Diagnostic Test: SL-ECG

  • Control Group

    Fifty volunteers who did a 12lead-ECG measurement, repeat the procedure using the hand-held diagnostic tool (SL-ECG).

    Diagnostic Test: SL-ECG

Interventions

  • Diagnostic testSL-ECG

    additional SL-ECG measurement

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What researchers measure

Primary outcomes

  1. Comparison of the SL-ECG (hand-held diagnostic tool) with the 12lead-ECG (gold standard) to identify and evaluate cardiac arrhythmias.

    The 12lead-ECG and the measurement of the hand-held diagnostic tool, performed by the proband/volunteer after the main examination, are crucial for the examination. The ECG hand-held diagnostic tool measures the heartbeat by analyzing the RR-intervals and gives a direct indication of irregularities through a red light after the measurement. Preliminary analyses showed a very good signal quality of the SL-ECG, therefore the times \[s\] and amplitudes \[mV\] of the P-wave, QRS-complex, T-wave, as well as the conduction and excitation shall be compared with each other and evaluated.

    Time frame: 12 Month

Secondary outcomes

  1. Analysis of SL-ECGs and validation of prognostic factors based person-specific data and their medical history.

    The descriptive analysis is performed comprehensively for the entire cohort and separately for people with known and newly discovered atrial fibrillation. The SL-ECG, person-specific data (e.g. age, BMI) and medical history (e.g. cardiovascular diseases, drug intake) are used to validate known prognostic factors and to find new prognostic factors. Continuous variables are summarized by calculating mean, median, standard deviation, quantiles and interquartile distances. For categorial variables, frequencies and percentages are calculated and tabulated. Based on these values, the raw incidence as well as age- and gender-specific incidences of atrial fibrillation can be calculated.

    Time frame: 12 Month

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Study locations

1 site
  • Uniklinium RWTH Aachen
    Aachen, North-Rhine-Westphalia 52074, Germany
08

References and documents

Publications

  • Chugh SS, Blackshear JL, Shen WK, Hammill SC, Gersh BJ. Epidemiology and natural history of atrial fibrillation: clinical implications. J Am Coll Cardiol. 2001 Feb;37(2):371-8. doi: 10.1016/s0735-1097(00)01107-4. PubMed 11216949 ↗
  • Lloyd-Jones DM, Wang TJ, Leip EP, Larson MG, Levy D, Vasan RS, D'Agostino RB, Massaro JM, Beiser A, Wolf PA, Benjamin EJ. Lifetime risk for development of atrial fibrillation: the Framingham Heart Study. Circulation. 2004 Aug 31;110(9):1042-6. doi: 10.1161/01.CIR.0000140263.20897.42. Epub 2004 Aug 16. PubMed 15313941 ↗
  • Schnabel RB, Wilde S, Wild PS, Munzel T, Blankenberg S. Atrial fibrillation: its prevalence and risk factor profile in the German general population. Dtsch Arztebl Int. 2012 Apr;109(16):293-9. doi: 10.3238/arztebl.2012.0293. Epub 2012 Apr 20. PubMed 22577476 ↗
  • Stewart S, Hart CL, Hole DJ, McMurray JJ. A population-based study of the long-term risks associated with atrial fibrillation: 20-year follow-up of the Renfrew/Paisley study. Am J Med. 2002 Oct 1;113(5):359-64. doi: 10.1016/s0002-9343(02)01236-6. PubMed 12401529 ↗
  • Wolf PA, Abbott RD, Kannel WB. Atrial fibrillation as an independent risk factor for stroke: the Framingham Study. Stroke. 1991 Aug;22(8):983-8. doi: 10.1161/01.str.22.8.983. PubMed 1866765 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 10, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03715361
Lead sponsor
RWTH Aachen University
Collaborators
Pfizer
Responsible party
Sponsor
First posted
Oct 23, 2018
Start date
Oct 9, 2018
Primary completion
Mar 26, 2019
Completion
Mar 26, 2019
Last update
Mar 10, 2020

Study contacts

Nikolaus Marx
principal investigator · Head of the Clinic for Cardiology, Pneumology, Angiology and Internal Intensive Medicine

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2020. You cannot join it, but the record below documents what was studied.

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