Zapping the ear: a new way to stop Post-Surgery heart rhythm problems?
NCT ID NCT07824492
First seen Sep 17, 2026 · Last updated Sep 18, 2026 · Updated 1 time
Summary
Researchers are testing whether mild electrical stimulation of a nerve in the ear can prevent atrial fibrillation, a common irregular heartbeat, after off-pump coronary artery bypass surgery. Adults scheduled for this heart surgery receive either the stimulation plus standard care or standard care alone. The trial measures how many people develop atrial fibrillation within seven days after surgery, along with inflammation markers, heart rate variability, and safety.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- transcutaneous auricular vagus nerve stimulation, a noninvasive device that delivers mild electrical pulses to the ear
- What this could lead to
- If it works, this could offer a drug-free, noninvasive way to lower the risk of irregular heartbeats after heart bypass surgery.
- What could go wrong
- The approach is still experimental, and it may not reduce atrial fibrillation after surgery. Some participants may find the ear stimulation uncomfortable, and results from this single-center trial may not apply everywhere.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 410 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Oct 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age 18 years or older. 2. Scheduled to undergo elective off-pump coronary artery bypass grafting (OPCAB) for coronary artery disease with multivessel coronary artery disease. 3. Sinus rhythm on the preoperative baseline electrocardiogram, with no history of atrial fibrillation or other clinically significant arrhythmias. 4. Able and willing to provide written informed consent and comply with the study intervention and follow-up procedures. 5. Expected postoperative hospital stay of at least 7 days to allow postoperative atrial fibrillation monitoring. Exclusion Criteria: 1. History of atrial fibrillation or other arrhythmias requiring antiarrhythmic therapy. 2. Emergency OPCAB surgery or intraoperative conversion to on-pump coronary artery bypass grafting. 3. Concomitant cardiac surgery, such as valve surgery, or hybrid cardiac procedures. 4. Vagus nerve-related disorders, epilepsy, active ear infection, or implanted electrical devices such as a pacemaker or implantable cardioverter-defibrillator. 5. Severe comorbidities, including severe renal dysfunction (estimated glomerular filtration rate \<30 mL/min/1.73 m²), active malignancy, current immunosuppressive therapy, or chronic inflammatory disease. 6. Inability to tolerate auricular stimulation, including significant skin allergy or intolerance, or anticipated poor adherence to the study procedures. 7. Expected survival of less than 12 months or inability to complete follow-up.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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