Purpose

To characterize the impact of orthostatic hypotension (OH) and Vasovagal syncope on signals measured using a wearable Holter monitor in the clinic and ambulatory setting. To evaluate the relationship of signals measured from the Holter monitor with reported symptom severity of orthostatic intolerance per standard data collection, analysis, and questionnaires.

Conditions

Eligibility

Eligible Ages
Over 18 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Willing and capable to provide informed consent - Age 18 or above - Previously underwent a clinically indicated ARS assessment without complications (including deep breathing, Valsalva maneuver, and tilt table testing). - Previously diagnosed with OH, Vasovagal syncope, OR control subjects assessed as normal, based on the ARS assessment. Participant enrollment shall be based on the type of diagnosis. - Willing to complete all required study activities.

Exclusion Criteria

  • Currently enrolled in another clinical trial that might interfere with data collection. - Subject is pregnant or planning to become pregnant during the study - Active Implantable Medical Device, e.g. cardiac implantable electronic devices, bladder stimulators, diaphragm stimulators, implantable neuro stimulator, implantable active monitoring devices, implantable active drug administration devices, etc. - Have a prosthetic cardiac valve or previously underwent cardiac valve surgery. - Known allergy to materials used in the study (adhesive, ECG electrodes) - Diagnosed with syncope due to cardiologic causes. - Have had a myocardial infarction in the previous 90 days - Have been diagnosed with tachycardia that requires current medical treatment - Have any contraindications for exercise testing, tilt table test, Valsalva maneuver test or deep breathing test (judged by the study Principal Investigator)

Study Design

Phase
Study Type
Observational
Observational Model
Cohort
Time Perspective
Prospective

Arm Groups

ArmDescriptionAssigned Intervention
Syncope group Patients that have undergone an ARS assessment and diagnosed with orthostatic hypotension or reflex syncope
  • Device: Wearable holter monitor
    Participants will be fitted with a minimum of one wearable Holter monitor and up to 2 monitors, placed on the skin that measures physiologic signals. Participants will wear the monitor(s) for up approximately 21 days.
Control Group Patients that have undergone an ARS assessment and are control subjects.
  • Device: Wearable holter monitor
    Participants will be fitted with a minimum of one wearable Holter monitor and up to 2 monitors, placed on the skin that measures physiologic signals. Participants will wear the monitor(s) for up approximately 21 days.

Recruiting Locations

Mayo Clinic Foundation
Rochester, Minnesota 55905
Contact:
Wolfgang Singer, MD
singer.wolfgang@mayo.edu

More Details

NCT ID
NCT07502599
Status
Recruiting
Sponsor
Boston Scientific Corporation

Study Contact

Ashley M Jensen, Masters of Science
612-449-2918
ashley.jensen@bsci.com

Detailed Description

This is a non-randomized feasibility study that will enroll up to 40 participants that have undergone a previous autonomic reflex screen (ARS) assessment and were either diagnosed with OH or reflex syncope or considered to be control subjects for this study. A minimum of 20 subjects diagnosed with reflex syncope; a maximum of 15 subjects diagnosed with OH syncope and a maximum of 15 control subjects will be enrolled. There will be one in person study visit and a 21 day follow up period per subject.

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.