Clinical trial Recruiting at 1 site Interventional Ages 18 to 70

Understanding how heart rate affects blood flow in the brain

Official title: Assessment of the Relationship Between Cerebral Blood Flow and Heart Rate: An Electrophysiology Based Study

Run by University of Calgary · NCT04391465 · Data updated 2026-11-12

This study is testing how changes in heart rate affect blood flow to the brain in patients with postural tachycardia syndrome to help improve their symptoms and quality of life.

Quick facts

Study typeInterventional
Ages18 Years to 70 Years
SexAll
Enrollment20 (estimated)
SponsorUniversity of Calgary
Academic / other
Locations1 site (Calgary, Alberta)
StatusRecruiting
StartedAugust 11, 2021
Main results expectedDecember 2027
Study endsDecember 2027
Registry record updatedMay 7, 2026
Trial IDNCT04391465 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are adults aged 18-70 who are scheduled for elective electrophysiological studies and have a left ventricular ejection fraction of 50% or greater.

Probably not a fit

Patients who are unable or unwilling to provide informed consent or have other conditions preventing protocol completion may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study aims to explore the relationship between heart rate and cerebral blood flow (CBF) in the middle cerebral artery (MCA) by utilizing temporary pacing catheters in patients undergoing elective electrophysiological procedures. Researchers will measure MCA CBF using transcranial Doppler ultrasound while manipulating heart rate to assess its impact on CBF. The study focuses particularly on patients with postural tachycardia syndrome (POTS), who often experience chronic orthostatic symptoms and reduced cardiac output. By investigating this relationship, the study seeks to enhance understanding of the hemodynamic determinants of CBF and potentially improve quality of life for affected patients.

Why it matters

Potential benefit: If successful, this study could lead to better management strategies for patients with POTS and improve their quality of life.

How similar studies have gone: While the relationship between heart rate and CBF has not been extensively studied in POTS patients, previous research has shown that increased cardiac output can improve CBF, indicating potential for success in this novel approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Male or female
* Age 18-70 years, inclusive
* Scheduled for clinically indicated elective electrophysiological studies where temporary pacing catheters are being placed in the right atrium
* Left ventricular ejection fraction ≥50%
* Able and willing to provide informed consent
* Able to travel to the Cardiac Electrophysiology Laboratory at the Foothills Medical Centre, Calgary, Alberta, Canada

Exclusion Criteria:

* Unable or unwilling to provide informed consent
* Other factors which in the investigator's opinion would prevent the participant from completing the protocol

Where it's running

  • Foothills Medical Center
    Calgary, Alberta, Canada
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.