Evidence map›Paper›PMID 40920457›Full record

ArticleEuropean journal of heart failure2025

The CONDUCT-AF trial: Rationale and design of a prospective, randomized, multicentre study comparing conduction system and biventricular pacing in patients undergoing atrioventricular node ablation for heart failure with atrial fibrillation.

Maja Ivanovski, Miha Mrak, Anja Zupan Mežnar, Matevž Jan, Catalin Pestrea, Sandro Brusich, Peter Bogyi, Sebastiaan Dhont, Zrinka Jurišić, Vassil Traykov and 3 more

Abstract readClinical Trial Protocol
In one paragraph

Article in European journal of heart failure, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Maja IvanovskiCardiology Department, University Medical Centre Ljubljana, Ljubljana, Slovenia.
Miha MrakCardiology Department, University Medical Centre Ljubljana, Ljubljana, Slovenia.
Anja Zupan MežnarCardiology Department, University Medical Centre Ljubljana, Ljubljana, Slovenia.
Matevž JanDepartment of Cardiovascular Surgery, University Medical Centre Ljubljana, Ljubljana, Slovenia.
Catalin PestreaDepartment of Interventional Cardiology, Brasov County Emergency Clinical Hospital, Brasov, Romania.
Sandro BrusichClinic for Cardiovascular Diseases, Clinical Hospital Centre Rijeka, Rijeka, Croatia.
Peter BogyiCentral-Hospital of Northern Pest - Military Hospital, Budapest, Hungary.
Sebastiaan DhontDepartment of Cardiology, Ziekenhuis Oost-Limburg A.V., Genk, Belgium.
Zrinka JurišićDepartment of Cardiology, University Hospital Center Split, Split, Croatia.
Vassil TraykovDepartment of Invasive Electrophysiology, Clinic of Cardiology, Acibadem City Clinic Tokuda University Hospital, Sofia, Bulgaria.
Borka Pezo NikolićUniversity Hospital Centre Zagreb, Zagreb, Croatia.
Wilfried MullensDepartment of Cardiology, Ziekenhuis Oost-Limburg A.V., Genk, Belgium.
David ŽižekCardiology Department, University Medical Centre Ljubljana, Ljubljana, Slovenia.ORCID https://orcid.org/0000-0001-5029-3989

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThere is a lack of data from randomized clinical trials comparing treatment outcomes between conduction system pacing (CSP) modalities and biventricular pacing (BVP) in symptomatic patients with refractory atrial fibrillation (AF) scheduled for atrioventricular node ablation (AVNA). The CONDUCT-AF investigates whether CSP is non-inferior to BVP in improving left ventricular ejection fraction (LVEF) and clinical outcomes in heart failure (HF) patients with symptomatic AF undergoing AVNA.

methodsThis study is an investigator-initiated, prospective, randomized, multicentre clinical trial conducted across 10 European centres, enrolling 82 patients with symptomatic AF, HF with reduced LVEF, and narrow QRS. Participants will be randomized 1:1 to CSP or BVP with subsequent AVNA and followed for at least 24 months. The primary endpoint is the change in LVEF after 6 months. Secondary endpoints will include time to the first occurrence of worsening HF or cardiovascular death and its individual components, total number of HF hospitalizations, change in quality of life, N-terminal pro-B-type natriuretic peptide, 6-min walk test distance, and safety outcomes.

conclusionsThe CONDUCT-AF trial will provide critical insights into the optimal pacing modality for patients with HF and refractory AF undergoing AVNA. Recruitment is expected to conclude in 2025, with the first study results anticipated in 2026.

Indexed as

Atrial FibrillationAtrioventricular NodeCardiac Resynchronization TherapyCatheter AblationHeart Conduction SystemHeart FailureAgedFemaleHumansMaleMiddle AgedMulticenter Studies as TopicProspective StudiesQuality of LifeRandomized Controlled Trials as TopicStroke VolumeAtrial fibrillationAtrioventricular node ablationBiventricular pacingConduction system pacingHeart failure

Identifiers

PMID40920457
PMCPMC12575416

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.