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Research Information Sheet for Practices Study Title Sponsor Funders Chief Investigator Study design Primary Study Aim & Objectives Practice target & study duration Cerebral vasomotor regulation in atrial fibrillation (CVR-AF) University of Birmingham British Heart Foundation Dr James Fisher This is a single centre, cross-sectional, case control study. Compare cerebral vasomotor regulation in atrial fibrillation patients, ‘disease controls’ (patients with essential hypertension in sinus rhythm), and healthy controls with normal sinus rhythm. PIC Activity Only (All the research activity will take place at the secondary care site, City Hospital) Inclusion Criteria Atrial fibrillation patients Chronic atrial fibrillation established on ECG or Holter monitoring Men and women Aged 18 years and over ‘Disease’ control patients Patients in sinus rhythm with high blood pressure (systolic blood pressure >140 mmHg, and/or diastolic blood pressure >90 mmHg) Men and women Aged 18 years and over Summary of Eligibility Criteria (refer to Protocol for full criteria) Healthy control subjects Healthy control subjects in sinus rhythm and with normal blood pressure (systolic blood pressure <130 mmHg and diastolic blood pressure <90 mmHg) Not taking any prescription or over-the-counter medications (other than oral contraceptive pill) Men and women Aged 18 years and over Exclusion Criteria Version 1 25/04/2016 Current use of oral nitrates Evidence of valvular heart disease Left ventricular dysfunction Recent acute coronary syndrome (<3 months) Cancer Connective tissue or inflammatory disease Neurological disease Severe respiratory disease (e.g., chronic obstructive pulmonary disease) Infection or pyrexial illness Uncontrolled thyroid disorders Hormone replacement therapy Hepatic or renal impairment CVR AF Page 1 of 3 Core Practice Activities Outside the stated age range Pregnancy Underlying medical conditions, which in the opinion of the Investigator place the participant at unacceptably high risk for participating in the study Inability to fully or appropriately participate in the study 1) Complete a database search and check lists for exclusions 2) Send Invite letters to patients (All interested patients will contact the secondary care site, there will be no further practice activity) Your practice will receive a £227* search fee for the initial practice database search and mailing. Practice Reimbursements *Values are an indication and can vary depending on number of patients entered into the study from your practice. Patient Involvement See Flowchart Below Resources provided by the study team Clinical Research Network and the study team Local CRN contacts: Saif Uddin [email protected] 0121 414 8614 Version 1 25/04/2016 CVR AF Page 2 of 3 STUDY FLOW CHART Practice Involvement Patient Involvement 1) Complete a database search and check lists for exclusions 2) Send patient invites in the post Recruitment Arrive at hospital for study visit Reminder of procedures, any ques ons answered, wri en informed consent Height, weight, and body composi on recorded. Disease/demographic informa on obtained Venous blood sample taken Cogni ve func on assessed Flow mediated dilata on Set up and monitoring of the cardiovascular system, respira on and cerebral blood flow Cerebral vasomotor regula on assessment Physical ac vity monitoring and health ques onnaires Version 1 25/04/2016 CVR AF Page 3 of 3