Premature Ventricular Contraction
Conditions
Keywords
NIVNS Non-invasive vagal nerve stimulation, LLTS- Low-level tragus stimulation, HRV-BF - Heart rate variability biofeedback
Brief summary
Prospective randomized control pilot study
Detailed description
The primary aims of this investigator initiated study is : Aim 1: to assess the ability of non-invasive vagal nerve stimulation to suppress Premature Ventricular Contractions and Aim 2: to compare the efficacy of Lower-level Tragus stimulation and Heart rate variability- Biofeedback in suppression of Premature Ventricular Contractions.
Interventions
Low-Level Tragus Stimulation via TENS unit will be monitored with a Holter.
Heart Rate Variability- Biofeedback will be monitored with a Holter.
Conventional Medical Therapy by Beta Blockers will be added to subjects usual care by their doctor if they are not already taking this medication.
Sponsors
Study design
Intervention model description
Patients will be randomized to Premature ventricular contraction suppression strategies: 1) Lower level tragus stimulation 2) Heart rate variability biofeedback and 3) conventional medical therapy (usual care)
Eligibility
Inclusion criteria
* Normal Left Ventricular systolic function * Frequent PVCs
Exclusion criteria
* Current use of any (I and/or III) antiarrhythmic medication * Contraindication to use beta blockers and non-dihydropyridine calcium channel blockers * Complete Atrioventricular block and pacemaker dependent * Ongoing uncontrolled hypertension with systolic Blood Pressure\> 180 * Family history of dilated Cardiomyopathy in a first degree relative * Alcohol use disorder or illicit drug use * Actively being treated Atrial fibrillation/ Flutter with Rapid Ventricular Response * Moderate to severe valve disorders * Patient with shortwave/microwave therapy equipment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assess the ability of non-invasive vagal nerve stimulation to suppress Premature Ventricular Contractions. | perspective 12-week study (each arm lasting two weeks with a one week washout between each arm) | Compare the effects of Premature Ventricular Contractions suppression between standard medical therapy and non-invasive vagal nerve stimulation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Compare the efficacy of non-invasive vagal nerve stimulation via lower-level vagal stimulation and heart rate variability in suppression of Premature Ventricular Contractions. | perspective 12-week study (each arm lasting two weeks with a one-week washout between each arm) | It is speculated that Heart Rate Variability-Biofeedback is as effective as Lower Level Tragus Stimulation to achieve successful Premature Ventricular Contraction suppression. |
Countries
United States