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