Remote ECG Monitoring Post TAVI
DRAGON-TAVI
Remote ECG Monitoring as a Diagnostic Tool for Therapeutic Strategies After Transcatheter Aortic Valve Replacement: Rationale and Design of the DRAGON-TAVI Trial.
1 other identifier
interventional
250
2 countries
4
Brief Summary
The DRAGON TAVI study is a multicenter, prospective, open, randomised trial, which will enrol 250 patients, randomized 1:1 to the study group (continuous 30-day ECG monitoring with visits triggered by ECG findings) and standard care (ie. control group, which will receive the standard post op 24-48h ECG monitoring and a regular follow-up visit with standard ECG within 30 days). The duration of the study is 12 months ± 1 month.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Dec 2023
Longer than P75 for not_applicable
4 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2023
CompletedFirst Submitted
Initial submission to the registry
November 24, 2025
CompletedFirst Posted
Study publicly available on registry
April 13, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
February 1, 2028
April 13, 2026
March 1, 2026
3.2 years
November 24, 2025
April 7, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The first primary endpoint will be the assessment of the total incidence of clinically significant atrio-ventricular block.
30 days
Secondary Outcomes (1)
Secondary endpoints will include: All-cause mortality; Major composite adverse cardiovascular events (MACEs, ie, cardiovascular death, stroke, myocardial infarction, hospitalisation for heart failure); Episodes of syncope; cardiac arrhythmias
24 months
Study Arms (2)
Remote ECG monitoring
EXPERIMENTALDevice: continuous 30-day ECG monitoring with visits triggered by ECG findings
Standard care
ACTIVE COMPARATORControl group, which will receive the standard post op 24-48h ECG monitoring and a regular follow-up visit with standard ECG within 30 days
Interventions
Patients will be randomized to the study group (continuous 30-day ECG monitoring with visits triggered by ECG findings) and the control group (which will receive the standard post op 24-48h ECG monitoring and a regular follow-up visit with standard ECG within 30 days).
Description: Patients will be randomized to the study group (continuous 30-day ECG monitoring with visits triggered by ECG findings) and the control group (which will receive the standard post op 24-48h ECG monitoring and a regular follow-up visit with standard ECG within 30 days).
Eligibility Criteria
You may qualify if:
- Patient age over 18 years old
- Severe aortic stenosis
- Moderate or high cardiovascular risk based on current ESC Guidelines "Heart Team" qualification for TAVI
- Written informed consent of the patient for participation in the study
You may not qualify if:
- History of atrial fibrillation or atrial flutter
- Previously known conduction disturbances\*\*
- Presence of: pacemaker, CRT-P, ICD, CRT-D before or after TAVI
- Ischaemic stroke, TIA, MI or heart surgery within 1 month before TAVI qualification
- Haemorrhagic stroke within 1 year before TAVI qualification
- Chronic immunosuppressive therapy
- Comorbidities (e.g. drug addiction, alcohol abuse, emotional/mental disorders) which do not allow safe participation in the study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (4)
Division of Cardiology, Departement of Medical Science University of Turin, Città della Salute e Della Scienza
Turin, Italy
Department of Invasive Cardiology, Medical University of Białystok, Bialystok, Poland
Bialystok, Poland
Medical University of Silesia
Katowice, 40-055, Poland
Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland
Katowice, 40-635, Poland
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD, PhD, Prof.
Study Record Dates
First Submitted
November 24, 2025
First Posted
April 13, 2026
Study Start
December 1, 2023
Primary Completion (Estimated)
February 1, 2027
Study Completion (Estimated)
February 1, 2028
Last Updated
April 13, 2026
Record last verified: 2026-03