AF Screening in Patients With Abnormal Echocardiographic Parameters
SAFE-ECHO
Screening of Atrial Fibrillation/Arrhythmia Events in Patients With Abnormal Echocardiographic Parameters: The Randomized, Prospective SAFE-ECHO Study Design and Rationale
2 other identifiers
interventional
3,000
1 country
1
Brief Summary
To evaluate the feasibility of specific echocardiographic parameters as criteria for AF screening and to determine the AF detection yield of scheduled extended ECG monitoring compared to contemporary care.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Mar 2025
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 17, 2025
CompletedFirst Submitted
Initial submission to the registry
November 29, 2025
CompletedFirst Posted
Study publicly available on registry
December 11, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2031
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 31, 2032
December 11, 2025
November 1, 2025
6.8 years
November 29, 2025
November 29, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
the detection of AF either by 12-lead ECG or any episodes of AF lasting ≥ 30 seconds by the single-lead ECG or 7-day continuous recording.
2 years
Study Arms (2)
study arm
ACTIVE COMPARATORcontrol arm
NO INTERVENTIONInterventions
Scheduled cardiac rhythm monitoring every 3 months using extended continuous ECG monitoring
Eligibility Criteria
You may qualify if:
- LAE: defined as LAD ≥ 45 mm or LAVI \> 34 ml/m2;
- LVH: defined as LV septal or posterior wall thickness ≥ 15 mm;
- E/e' \> 14;
- grade II or III diastolic dysfunction;
- VHD;
- HF: defined as LVEF \< 40% or LVEF ≥40% with clinical presentation compatible with Framingham criteria, New York Heart Association functional classification II-IV, and N-terminal pro-B type natriuretic peptide (NT-proBNP) \> 125 pg/ml.
You may not qualify if:
- Patients with a history of AF or atrial flutter, congenital heart disease, acute coronary syndrome undergoing urgent percutaneous coronary intervention within 3 months, uncontrolled hyperthyroidism, end-stage renal disease, unstable hemodynamic status or any known major comorbidities or medical conditions with expected life expectancy less than 1 year are excluded.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Tze-Fan Chaolead
Study Sites (1)
Taipei Veterans General Hospital
Taipei, 112, Taiwan
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER GOV
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Doctor
Study Record Dates
First Submitted
November 29, 2025
First Posted
December 11, 2025
Study Start
March 17, 2025
Primary Completion (Estimated)
December 31, 2031
Study Completion (Estimated)
December 31, 2032
Last Updated
December 11, 2025
Record last verified: 2025-11