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Tragus Nerve Stimulation Attenuates Postural Orthostatic Tachycardia Syndrome in Post COVID-19 Infection

Background

Postural orthostatic tachycardia syndrome (POTS) causes symptoms like dizziness and rapid heartbeat when standing up. It is often seen in people recovering from COVID-19.

Study Purpose

This study aimed to test if low-level tragus stimulation (LL-TS) could help patients with POTS after COVID-19.

Study Details

We included 57 participants who had POTS after COVID-19. They were divided into two groups: one received real LL-TS treatment, and the other received a sham (fake) treatment. The treatment involved stimulating the tragus (a part of the ear) for one hour, twice a day, over one month.

Results

Participants were mostly young adults (average age 31.9 years, 61.4% female). The results showed:

  • LL-TS reduced the increase in heart rate when standing up.
  • It lowered average and maximum heart rates after one month.
  • LL-TS decreased levels of neuropeptide Y (NPY), a substance linked to stress responses.
  • It improved heart rate variability, indicating better autonomic function.

These benefits lasted for at least one year after treatment.

Conclusion

LL-TS could be a helpful treatment for managing POTS symptoms in patients recovering from COVID-19.

Opportunities for Clinics and Patients

Based on the trial data, clinics can:

  • Set clear goals for using LL-TS in treating POTS.
  • Measure outcomes like heart rate changes and patient-reported symptoms.
  • Implement LL-TS as a standard treatment option for eligible patients.

AI Tools for Clinical Needs

Clinics should consider AI solutions that can:

  • Track patient progress with LL-TS.
  • Analyze treatment outcomes effectively.

Next Steps

Start with a pilot project to test LL-TS in your clinic. Use AI tools to monitor results and assess the real-world impact of this treatment.

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