Non-invasive Vagal Stimulation for Frequent Premature Ventricular Complexes

Exclusion Criteria

• •Ischemic cardiomyopathy with LVEF \< 40%
• •Severe heart failure (New York Heart Association Class III, or IV) or valve disease
• •Sustained ventricular tachycardia
• •Structural heart disease or myocardial scar
• •Pregnancy or nursing
• •Patients with known thyroid issues, on renal dialysis.
• •Patients with prolonged first-degree block, high degree AV block (2nd or 3rd degree), bivascular block and documented sick sinus syndrome
• •Hypotension due to autonomic dysfunction
• •Patients with cardiac implantable electronic device (ICD or PPM) , hearing aid implants or any implanted metallic or electronic device
• •Patients who have had prior cervical vagotomy
• •Patients with skin on the tragus that is broken or cracked
• •Patients with a history of baseline cardiac disease or atherosclerotic cardiovascular disease, including congestive heart failure (CHF), known severe coronary artery disease or recent myocardial infarction (within 5 years) and patients diagnosed with narrowing of the arteries (carotid atherosclerosis)