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Clinical Trials/NCT05350150
NCT05350150
Active, not recruiting
Not Applicable

Non-invasive Vagus Nerve Stimulation in Patients Undergoing Electrophysiological Study (VNS-EPS)

Northwell Health2 sites in 1 country10 target enrollmentAugust 22, 2022

Overview

Phase
Not Applicable
Intervention
Auricular Vagal Nerve Stimulation
Conditions
Neuromodulation
Sponsor
Northwell Health
Enrollment
10
Locations
2
Primary Endpoint
Change in Sinus Cycle Length
Status
Active, not recruiting
Last Updated
17 days ago

Overview

Brief Summary

The Non-invasive Vagus Nerve Stimulation in Patients Undergoing Electrophysiological Study is a single center, pilot, prospective study that aims at evaluating the effects of auricular vagus nerve stimulation (aVNS) on the human cardiac conduction system.

Detailed Description

The Non-invasive Vagus Nerve Stimulation in Patients Undergoing Electrophysiological Study is a single center, pilot, prospective study that aims at evaluating the effects of auricular vagus nerve stimulation (aVNS) on the human cardiac conduction system. In this study, we will enroll 10 healthy individuals presenting to the electrophysiology laboratory for an electrophysiological study (EPS). Patients will undergo a standard EPS with 4 catheters (coronary sinus catheter, His catheter, right ventricular catheter, and right atrial catheter). Following the standard EPS, patients will be hooked up a Parasym device to provide transcutaneous electrical stimulation to the auricular branch of the vagus nerve.

Registry
clinicaltrials.gov
Start Date
August 22, 2022
End Date
July 30, 2026
Last Updated
17 days ago
Study Type
Interventional
Study Design
Single Group
Sex
All

Investigators

Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • Primary indication for EPS for the evaluation of cardiac conduction system or supraventricular tachycardia.

Exclusion Criteria

  • Previous EPS with ablation
  • Previous failed ablation
  • Known conduction system disease, right or left bundle branch block on EKG
  • Pregnant women
  • History of postural orthostatic tachycardia syndrome
  • Patients who have had prior cervical vagotomy
  • Patients with skin on the tragus that is broken or cracked
  • Patients with a history of baseline cardiac disease or atherosclerotic cardiovascular disease, including congestive heart failure (CHF), known severe coronary artery disease or recent myocardial infarction (within 5 years) and patients diagnosed with narrowing of the arteries (carotid atherosclerosis)
  • Patients with an active implantable medical device, such as a cardiac pacemaker, hearing aid implant, or any implanted metallic, implanted vagus nerve stimulator or electronic device.

Arms & Interventions

Auricular Vagal Nerve Stimulation

Patients will undergo a standard EPS with 4 catheters. Following the standard EPS, patients will be hooked up a Parasym device to provide transcutaneous electrical stimulation to the auricular branch of the vagus nerve, EPS will be repeated.

Intervention: Auricular Vagal Nerve Stimulation

Outcomes

Primary Outcomes

Change in Sinus Cycle Length

Time Frame: Pre procedure/procedure

Sinus cycle length (msec)

Change in QRS Duration

Time Frame: Pre procedure/procedure

QRS Duration (msec)

Change in AV Node Wenckebach Cycle Length

Time Frame: Pre procedure/procedure

AV Node Wenckebach Cycle Length (msec)

Change in AV Node Effective Refractory Period

Time Frame: Pre procedure/procedure

AV Node Effective Refractory Period (ERP) (msec)

Change in Right Ventricular Effective Refractory Period ERP

Time Frame: Pre procedure/procedure

Right Ventricular Effective Refractory Period ERP (msec)

Supraventricular Tachycardia induction

Time Frame: Pre procedure/procedure

Supraventricular Tachycardia induction

Change in A-H Interval

Time Frame: Pre procedure/procedure

A-H Interval (msec)

Change in H-V Interval

Time Frame: Pre procedure/procedure

H-V interval (msec)

Change in Atrial Effective Refractory Period

Time Frame: Pre procedure/procedure

Atrial Effective Refractory Period ERP (msec)

Change in Accessory Pathway Anterograde Effective Refractory Period ERP

Time Frame: Pre procedure/procedure

Accessory Pathway Anterograde Effective Refractory Period (msec)

Change in QT Duration

Time Frame: Pre procedure/procedure

QT Duration (msec)

Change in Sinus Node Recovery Time

Time Frame: Pre procedure/procedure

Sinus Node Recovery Time (msec)

Change in Accessory Pathway Retrograde Effective Refractory Period ERP

Time Frame: Pre procedure/procedure

Accessory Pathway Anterograde Effective Refractory Period (msec)

Change in retrograde block cycle length

Time Frame: Pre procedure/procedure

Retrograde Block Cycle Length (msec)

Supraventricular Tachycardia Termination

Time Frame: Pre procedure/procedure

Supraventricular Tachycardia Termination

Study Sites (2)

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