CAMERA-MRI II

  • Research type

    Research Study

  • Full title

    Catheter Ablation versus Medical Rate Control in Atrial Fibrillation with Systolic Heart Failure and Myocardial Fibrosis – an MRI guided Multi-Centre Randomised Controlled Trial

  • IRAS ID

    329602

  • Contact name

    Manish Kalla

  • Contact email

    Manish.kalla@uhb.nhs.uk

  • Sponsor organisation

    Alfred Hospital

  • Clinicaltrials.gov Identifier

    ACTRN12620000502932, ANZCTR

  • Duration of Study in the UK

    0 years, 11 months, 1 days

  • Research summary

    Atrial fibrillation (AF) and heart failure (HF) are increasingly prevalent and commonly co-exist. AF is the most common arrhythmia worldwide and may cause or exacerbate HF. A proportion of patients will demonstrate improvements in heart failure symptoms and heart function with restoration to normal rhythm achieved via catheter ablation (CA). CA (the most effective therapy in treating AF) is a minimally invasive procedure to eliminate AF. However, due to the different types of HF, it is important to assess which patients may benefit better from restoration to normal rhythm. Few studies have used heart MRI (CMR) to assess the impact of scarring in heart muscle of the main pumping chamber (left ventricular,LV) on success of CA in AF and HF. Furthermore, while CA is a mainstream treatment for AF, its application in patients with HF remains incompletely understood. The CAMERA-MRI II study will build upon the earlier CAMERA-MRI study, by including all patients with HF and AF. This study will utilise CMR to assess how the heart muscle scarring affects on patients having CA versus medications only. (180/300)

  • REC name

    North West - Greater Manchester Central Research Ethics Committee

  • REC reference

    23/NW/0380

  • Date of REC Opinion

    13 Feb 2024

  • REC opinion

    Further Information Favourable Opinion