Clinical trial Recruiting at 1 site Observational Ages 18 and up

Virtual reality to reduce discomfort during pacemaker and defibrillator implantation

Official title: Acute Clinical Outcomes Following the Implementation of Virtual Reality (VR) in the Electrophysiology Laboratory

Run by University of Calabria · NCT07009951 · Data updated 2026-11-12

We will test whether using virtual reality during pacemaker or implantable defibrillator implantation helps lower pain and anxiety for adult patients compared with standard sedation alone.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment100 (estimated)
SponsorUniversity of Calabria
Academic / other
Locations1 site (Cosenza)
StatusRecruiting
StartedJuly 1, 2025
Main results expectedOctober 31, 2025
Study endsDecember 31, 2025
Registry record updatedAugust 7, 2025
Trial IDNCT07009951 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adult patients (≥18 years) scheduled for pacemaker or implantable cardioverter-defibrillator implantation who can provide informed consent and use a VR headset are ideal candidates.

Probably not a fit

Patients with severe cognitive, psychiatric, visual, auditory, or vestibular disorders or those who cannot correctly position a VR headset are unlikely to benefit from the VR intervention.

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

What this trial studies

This is a prospective, single-center, randomized study at Annunziata Hospital that assigns adults undergoing pacemaker or ICD implantation to either standard sedation alone or standard sedation plus a VR headset for distraction. Pain will be measured with a numeric rating scale and vital signs will be monitored throughout the procedure, while patient satisfaction and adverse events are recorded. The trial includes modern device types such as leadless pacemakers and subcutaneous ICDs and also explores whether VR can support same-day discharge after minimally invasive procedures. Outcomes will compare pain levels, sedation needs, physiological stability, and safety between the two groups.

Why it matters

Potential benefit: If successful, adding VR could reduce procedural pain and anxiety, reduce sedation needs, and improve recovery and readiness for same-day discharge.

How similar studies have gone: Previous randomized and nonrandomized studies in other procedural settings have shown that VR can reduce pain and anxiety, but applying VR specifically to pacemaker or ICD implantation is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age ≥ 18 years.
* Patients who are candidates for pacemaker (PM) or implantable cardioverter-defibrillator (ICD) implantation, including new devices such as leadless PM and subcutaneous ICD (S-ICD).
* Ability to provide written informed consent.
* Ability to understand the use of the VR headset and express a pain score using the NRS scale.

Exclusion Criteria:

* Severe cognitive, psychiatric or neurological disorders that impair understanding or collaboration in the study.
* Visual and/or auditory and inner ear disorders or severe vertigo that could be aggravated by VR.
* Allergies or known adverse reactions to standard sedative therapies provided for in the protocol (e.g. midazolam) if essential for the procedure.
* Inability to correctly position the VR headset (e.g. severe facial deformities, recent trauma to the craniofacial area).

Where it's running

  • "Annunziata" Hospital
    Cosenza, Italy
    Recruiting

Study contacts

Similar studies

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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.