Novel Model of Integrated Care of Older Patients With Atrial Fibrillation and Heart Failure in Rural China (MIRACLE-AFHF)

Recruiting now · Not applicable

Conditions studied: Atrial Fibrillation, Heart Failure

In brief

This cluster randomization study aims to compare village-doctor led integrated care versus usual care to improve heart failure risk management, guideline-directed medical therapy, self-management adherence, and clinical outcomes for older patients with atrial fibrillation and heart failure in rural China.

Key facts

Study ID

NCT07492524

Run by

Jiangsu Taizhou People's Hospital

People needed

942

Starts

2026-08-01

Expected to finish

2029-12-30

Last updated by the study team

2026-07-28

Who can join

Age: 65 and older, up to 80. Sex: any. Healthy volunteers: not accepted.

You may not qualify if…

• Expected life expectancy of less than 12 months.
• Severe renal insufficiency (Ccr < 30ml/min) or ongoing dialysis treatment.
• Cardiac insufficiency secondary to correctable causes, including hyperthyroid heart disease, anemic heart disease, or uncorrected congenital heart disease.
• Indications for pacemaker implantation without having undergone implantation.
• Chronic obstructive pulmonary disease (COPD) complicated by type II respiratory failure.
• Special populations, including patients with mental illnesses.

Where it is running

• Village Clinics in Dongtai City, Jiangsu Province — Yancheng, Dongtai, China (enrolling)
• Village Clinics in Jiangdu District, Jiangsu Province — Yangzhou, Jiangdu, China (enrolling)
• Village Clinics in Suining County, Jiangsu Province — Xuzhou, Suining, China (enrolling)

Full record on ClinicalTrials.gov

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