Transcutaneous (Tragus) Vagal Nerve Stimulation for Post-op Afib
NCT04514757 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 77
Last updated 2025-02-24
Summary
Patients undergoing cardiac surgery are at high risk of developing atrial fibrillation (AF), with estimated rates of 30-50% and occurs at approximately 2-4 days after surgery. The autonomic nervous system is known to play a key role in AF. Animal studies have indicated that duration and inducibility of AF can be decreased with intermittent vagus nerve stimulation (VNS). In humans, literature suggests that transcutaneous (tragus) VNS (tVNS) can serve as a potentially non-invasive therapy for treatment of post-operative AF (POAF) by reducing inflammation and increasing atrial refractory period. The purpose of this study is to determine the value of tVNS in reducing the burden of POAF and days of hospitalization after cardiac surgery.
Conditions
Interventions
- DEVICE
-
active tVNS
20 Hz, 250ms at a current just below discomfort threshold for one hour twice a day, starting on post-day 0. Stimulation will continue until 5 days post-operatively or discharge.
- DEVICE
-
sham tVNS
Current set a 0 mA, starting on post-op day 0. Stimulation will continue until 5 days post-operatively or discharge.
Sponsors & Collaborators
-
University of Oklahoma
collaborator OTHER -
University of California, Los Angeles
lead OTHER
Principal Investigators
-
Jonathan Ho, MD · University of California, Los Angeles
-
Marmar Vaseghi, MD · University of California, Los Angeles
-
Stavros Stavrakis, MD, PhD · University of Oklahoma
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-09-20
- Primary Completion
- 2024-03-25
- Completion
- 2024-04-25
- FDA Device
- Yes
Countries
- United States
Study Locations
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