Actively Recruiting

Phase Not Applicable
Age: 40Years - 75Years
All Genders
ID05992259

Auricular Vagus Stimulation and ST-Segment Elevation Myocardial Infarction

Led by Bakulev Scientific Center of Cardiovascular Surgery · Updated on 2025-06-18

300

Participants Needed

1

Research Sites

35 weeks

Total Duration

On this page

Sponsors

B

Bakulev Scientific Center of Cardiovascular Surgery

Lead Sponsor

S

State Budget Public Health Institution Scientific Research Institute - Ochapovsky Regional Clinical Hospital

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are exploring new treatments to improve outcomes for patients with ST-segment elevation myocardial infarction (STEMI), a serious type of heart attack. Despite effective invasive strategies like primary percutaneous coronary intervention (PCI), many patients still face high mortality and disability. This research focuses on studying transcutaneous vagus nerve stimulation (TENS) as a potential way to protect the heart, reduce injury caused by restoring blood flow, and improve heart function after a heart attack. The study compares two groups: one receiving active TENS applied to the tragus of the left ear, and the other receiving sham TENS applied to the earlobe. The stimulation starts upon admission to PCI, continues during the procedure, and lasts for 30 minutes afterward. This noninvasive device-based treatment aims to evaluate whether vagus nerve stimulation can reduce heart damage and improve clinical outcomes in patients undergoing primary PCI for STEMI. Participants will be monitored for safety and effectiveness through hospital and 30-day mortality rates, as well as non-lethal cardiac events up to 14 days after treatment. The study uses randomization and quadruple masking to ensure reliable results. Throughout the study, patients will receive assessments including clinical evaluations and follow-up to observe changes in heart function and overall health during and after the intervention. The total study period spans from admission through one month post-treatment.

CONDITIONS

Brief Title

Auricular Vagus Stimulation and STEMI

Who Can Participate

Age: 40Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients with STEMI who have signed an informed voluntary consent to participate in the study
  • Primary myocardial infarction
  • Treatment within the first 12 hours from the onset of pain syndrome
  • Primary PCI
Not Eligible

You will not qualify if you...

  • Acute heart failure class III-IV
  • Bradyarrhythmias
  • Atrial fibrillation or flutter at the time of switching on
  • Thrombolytic therapy at the prehospital stage
  • History of myocardial infarction
  • Previous PCI or coronary artery bypass grafting (CABG)

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Up to several hours on the day of PCI

Participants receive noninvasive auricular vagus nerve stimulation starting from admission to the PCI, during the PCI, and for 30 minutes after the procedure.

1 treatment session on the day of PCI (in-person)

Follow-up

Duration - Up to 30 days

Participants are monitored for safety and outcomes including mortality and non-lethal events up to 30 days after treatment.

Approximately 2 follow-up visits within 30 days

Trial Site Locations

Total: 1 location

1

Scientific Research Institute Ochapovsky Regional Clinical Hospital

Krasnodar, Russia

Actively Recruiting

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Research Team

V

Vladimir Shvartz, MD, DM

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Published Research Related To This Trial

Low-Frequency Electrical Stimulation of the Auricular Branch of the Vagus Nerve in Patients with ST-Elevation Myocardial Infarction: A Randomized Clinical Trial.

Sofia Kruchinova, Milana Gendugova, Alim Namitokov...

https://pubmed.ncbi.nlm.nih.gov/40142674