Ablation of Inappropriate Sinus Tachycardia

Study Overview
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Brief Summary
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Hypothesis- Radiofrequency ablation, targeting the sympathetic input of the sinus node identified by 20Hz stimulation at the junction of the superior vena cava and the right atrium, will effectively reduce sinus rate acutely and will reduce palpitations due to inappropriate sinus tachycardia without the need for pacemaker implantation due to sinus node dysfunction post ablation.

Detailed Description
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Inappropriate sinus tachycardia syndrome describes a condition in which a patient's heart rate is intermittently (or persistently) higher than expected for the physiological circumstances, with ECG appearance indistinguishable from normal sinus rhythm, after the exclusion of medical conditions causing sinus tachycardia. Hypothesis- Radiofrequency ablation, targeting the sympathetic input of the sinus node identified by 20Hz stimulation at the junction of the superior vena cava and the right atrium, will effectively reduce sinus rate acutely and will reduce palpitations due to inappropriate sinus tachycardia without the need for pacemaker implantation due to sinus node dysfunction post ablation.

Official Title
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Ablation of Inappropriate Sinus Tachycardia Syndrome by Targeting Cardiac Neural Input

Conditions
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Inappropriate Sinus Tachycardia

Intervention / Treatment
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* Procedure: electrophysiology study and radiofrequency ablation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients between the ages of 18 and 80 years old, who are scheduled for an ablation procedure for suspected inappropriate sinus tachycardia, with symptomatic palpitations during periods where documented electrogram recordings suggest sinus tachycardia (holter, event recorder, or 12 lead ECG). Sinus rate greater than 100 bpm with minimal physiologic challenge, or mean sinus rate during 24 hour holter more than 95bpm, or daytime resting heart rate more than 95bpm. Symptoms (or sinus rate) not explained by an alternative medical or electrophysiological diagnosis. Symptoms refractory to treatment with beta-blocker medication, or beta-blockers contra-indicated or not tolerated Exclusion Criteria: Children under 18 years of age (due to greater risk from exposure to X rays). Any medical condition significantly increasing the risk of extending the ablation procedure or of X ray exposure, including pregnancy. Significant orthostatic hypotension (due to need for rapid chronotropic response to fall in blood pressure) An alternative cause for sinus tachycardia identified (e.g. hyperthyroidism or pheochromocytoma). Inability or unwillingness to provide informed consent.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Single Group Assignment<br>electrophysiology study and radiofrequency ablation | Procedure: electrophysiology study and radiofrequency ablation<br>* stimulation protocol searching for the neural inputs to the sinus node region and radiofrequency ablation of neural input to the heart<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Improvement in:symptoms(palpitations);quality of life;resting heart rate;mean 24 hour heart rate;heart rate variability; |  | Clinical efficacy is established if the improvement is maintained after 6months to a year. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| duration of symptom limited Bruce protocol exercise treadmill test;duration of exercise test required to increase rate by 20%. |  | 6 months to 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Inappropriate Sinus Tachycardia, Inappropriate Tachycardia, Sinus Tachycardia, Palpitations, Fast Heart rate