Atrial Fibrillation Burden as an Outcome in Clinical Trials
AbstractAtrial fibrillation is the most common cardiac arrhythmia in the world. In clinical trials evaluating interventions for atrial fibrillation, outcomes have been traditionally defined using a thirty second arrhythmia end point. In this Clinical Trials Workshop, we evaluate the role of atrial fibrillation burden as a primary outcome for atrial fibrillation intervention trials. In particular, we evaluate key considerations for ascertainment, definition, and analysis of atrial fibrillation burden while further considering regulatory implications of its use as a primary end point.
Authors
- Paulus F. Kirchhof (ORCID: https://orcid.org/0000-0002-1881-0197)
- Jason G. Andrade (ORCID: https://orcid.org/0000-0002-8493-5123)
Institutions
- Universität Hamburg (DE)
- Montreal Heart Institute (CA)
- Vancouver General Hospital (CA)
- University Medical Center Hamburg-Eppendorf (DE)
- Atrial Fibrillation NETwork (DE)
- German Centre for Cardiovascular Research (DE)
- Université de Montréal (CA)
- University of Birmingham (GB)
Publication Details
- Journal
- NEJM Evidence
- Published
- 2026-10-27
- DOI
- https://doi.org/10.1056/evidctw2600179
- Primary Topic
- Atrial Fibrillation Management and Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 0.00