Ignite Creation Date:
2024-10-26 @ 3:42 PM
Last Modification Date:
2024-10-26 @ 3:42 PM
Study NCT ID:
NCT06637085
Status:
COMPLETED
Last Update Posted:
None
First Post:
2024-05-01
Brief Title:
Acu Tens Versus Low Level Laser After Open Heart Surgeries
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Acu Tens Versus Low Level Laser on Autonomic and Heamodynamic Stability After Open Heart Surgeries
Status:
COMPLETED
Status Verified Date:
2024-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Increase in heart rate HR is a normal sympathetic response to body trauma and a common consequence of major surgical proceduresA high resting HR is associated with increased myocardial work that may be detrimental to patients with a marginal myocardial oxygen supplythe aim of this study is To compare between the effects of Acu TENS and low level laser therapy on autonomic and hemodynamic instability after open heart surgery
Detailed Description:
Autonomic function reached lowest values 3-6 days after coronary artery by pass graft CABG and could take up to 60 days to return to pre-surgery values pedro et al 2005
Alterations in pulse may provide a first indication that a patient is developing hemodynamic instability While many factors may influence the pulse rate including fever exercise medications and thyroid hormone status a high pulse rate is often a sign of high levels of endogenous catecholamines blood loss or dehydration Jonathan 2009 Hemodynamically unstable patients dont have enough pressure in the circulatory system to keep blood flowing reliably to all the various parts of the body where it needs to be at the same time
Vagus nerve stimulation VNS can increase HRV and reduce sympathetic nerve outflow which is desirable in conditions characterized by enhanced sympathetic nerve activity
Application of Acu-TENS over acu-point PC6 facilitated a faster return of resting HR to preoperative levels maintained BP during the acute postoperative period and enhanced a quicker return of rate pressure product RPP in patients after acute cardiac surgery
Faster return of the raised resting HR to preoperative levels in Acu-TENS application was possibly due to induced vagal stimulation andor inhibition of sympathetic neural activity through the acu-points PC6
Low level laser therapy LLLT is a non-invasive and safe method to recover parasympatheticsympathetic nervous system balance
this study show the differences between the effect of Acu TENS and low level laser therapy on autonomic and hemodynamic instability after open heart surgery
Alterations in pulse may provide a first indication that a patient is developing hemodynamic instability While many factors may influence the pulse rate including fever exercise medications and thyroid hormone status a high pulse rate is often a sign of high levels of endogenous catecholamines blood loss or dehydration Jonathan 2009 Hemodynamically unstable patients dont have enough pressure in the circulatory system to keep blood flowing reliably to all the various parts of the body where it needs to be at the same time
Vagus nerve stimulation VNS can increase HRV and reduce sympathetic nerve outflow which is desirable in conditions characterized by enhanced sympathetic nerve activity
Application of Acu-TENS over acu-point PC6 facilitated a faster return of resting HR to preoperative levels maintained BP during the acute postoperative period and enhanced a quicker return of rate pressure product RPP in patients after acute cardiac surgery
Faster return of the raised resting HR to preoperative levels in Acu-TENS application was possibly due to induced vagal stimulation andor inhibition of sympathetic neural activity through the acu-points PC6
Low level laser therapy LLLT is a non-invasive and safe method to recover parasympatheticsympathetic nervous system balance
this study show the differences between the effect of Acu TENS and low level laser therapy on autonomic and hemodynamic instability after open heart surgery
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None