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Transcutaneous Vagal Nerve Stimulation for the Treatment ofPersistent Atrial Fibrillation (VAST-AF): a Randomized, Controlled,Blinded, Monocentric, Clinical Trial

Not Applicable
Recruiting
Conditions
I48.1
Persistent atrial fibrillation
Registration Number
DRKS00031382
Lead Sponsor
Marienhaus Klinikum Hetzelstift
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
120
Inclusion Criteria

Persistend atrial fibrillation
Planned electric cardioversion
Sufficient oral anticoagulation for at least four weeks or
Absence of thrombus in TEE
Oral anticoagulation possible
Able to sign informed consent
Estimated life expectancy >1 year

Exclusion Criteria

Permanent atrial fibrillation
Ablation therapy of supraventricular arrhythmias in the past
Missing anticoagulation respective missing rule out of thrombus
Inability to treat with oral anticoagulation
Latent or manifest hyperthyroidism
Acute infection with relevant clinical signs (temp > 38°C, significant elevated CRP or WBC)
Inability to sign informed consent
Preexisting pacemaker or ICD
Recent vagal stimulation for other causes
Recent intolerance of transcutaneous vagal stimulation
Estimated life expectancy <1 year
Acute coronary syndrome
Haemodynamic instability
Valvular atrial fibrillation
Pregnancy

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Reccurence of atrial fibrillation after cardioversion, defined as an episode of atrial fibrillation >30 seconds that is detected with ECG, holter-ECG or wearable (i.e. Apple Watch). ECGs are performed during follow-up visits or could be conducted by an other hospital or during an ambulatory medical contact.
Secondary Outcome Measures
NameTimeMethod
Reduction of symptoms due to atrial fibrillation
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