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Status unknownNCT03507361MYDA-MUSICUpdated Apr 4, 2019

Myocardial Damage and Music Study

An interventional study of HRV-BASED MUSIC in Chronic Stable Angina and PTCA, sponsored by San Filippo Neri General Hospital. Status unknown at 1 site in Italy. Open to participants aged 18 Years to 100 Years. Per ClinicalTrials.gov, last updated 2019-04-04.

Sponsored by San Filippo Neri General Hospital · Not applicable, Interventional, and Prevention

The sponsor has not verified this record recently (last verified Apr 2019), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
443
Allocation
Randomized
Ages
18 Years to 100 Years
Sex
All
01

Study summary

MYDA-MUSIC study is a randomized, double blind (operator and analyst) study performed in San Filippo Neri Hospital, Roma, Italy and in Di Venere Hospital, Bari, Italy. The planned study duration is 12 months. The objectives are to assess the effects of heart-rate-variability based music on the incidence and magnitude of peri-procedural myocardial damage caused by coronary angioplasty in stable patients. 443 patients with chronic stable angina scheduled for a coronary angiography and possible ad hoc angioplasty will be randomized to receive music or dumb earphones.

02

Conditions studied

  • Chronic Stable Angina
  • PTCA

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03

In context

Angina, Stable

349 studies on the registry are indexed under Angina, Stable; 57 are open to participants now.

This study's planned enrollment of 443 is above the median of 150 across 237 interventional studies indexed under Angina, Stable.

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Lead sponsor

San Filippo Neri General Hospital is the lead sponsor of 10 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Chronic stable angina scheduled to undergo a coronary angiography and ad-hoc angioplasty

Exclusion criteria

Exclusion Criteria:

  • Abnormal c-TnI level before angiography
  • Participation in other clinical studies
  • Patients with pacemakers or defibrillators
  • High rate atrial fibrillation (baseline heart rate >99 bpm) at enrolment
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
443 participants (estimated)

Study arms

  • Experimental
    MUSIC

    Music will be administered through a normal computer equipped with a technology (Sound-of-Soul) that translates the patient's heart rate variability (HRV) into sounds according to a digital computer music-library. Music will start 10 minutes before and will end at the completion of the interventional procedure

    Other: HRV-BASED MUSIC

  • No intervention
    DUMB EARPHONES

    Dumb earphones will be placed over patient's ears starting 10 minutes before and ending at the completion of the interventional procedure.

Interventions

  • OtherHRV-BASED MUSIC

    Music is produced by Sound-of-Soul technology that translates HRV power frequency spectrum real-time into music. The intervals between the heartbeats are detected in milliseconds and then transferred into a frequency spectrum. Sound of Soul system gets wired into different band pass filters which are linked to the frequencies of the heart (i.e. low frequency and high frequency). Once the signal is detected and computed, the Sound of Soul system links it through a musical instrument digital interface (MIDI). This interface transforms ECG data into music and sounds. The audio production is performed using a virtual instrumentation technology with different music libraries. For the puropose of this study, all patients will ear the same instrument (arp). Once the instrument have been selected, the ECG gets recorded and in real-time the patient can hear a music obtained from his/her own HRV. The investigator will control the volume and the different settings of the music.

06

What researchers measure

Primary outcomes

  1. Incidence of procedure-related myocardial injury

    c-TnI concentration \>99th percentile URL in at least 1/3 blood drawings

    Time frame: within 24 hours from interventional procedure

Secondary outcomes

  1. Overall satisfaction with the procedure

    Self-evaluation test on an analogic visual scale (score range 1-10, higher stress for higher values)

    Time frame: From 5 to 30 minutes after the interventional procedure

  2. Difference in Distress self-evaluation baseline and after the intervention

    Self-evaluation test on an analogic visual scale (score range 1-10, higher stress for higher values)

    Time frame: Baseline and from 5 to 30 minutes after the interventional procedure

  3. Evaluation of pain experienced during the interventional procedure

    Self-evaluation test (score range 1-10, higher pain for higher values)

    Time frame: Baseline and from 5 to 30 minutes after the interventional procedure

  4. Difference in Anxiety evaluation baseline and after the intervention

    State-Trait Anxiety Inventory (STAI) test - Y italian version (score range 20-80, the higher the score the more anxiety the patients has, 2 subscales)

    Time frame: Baseline and from 5 to 30 minutes after the interventional procedure

  5. Questionnaire regarding a narrative report of the procedure

    Categorical analysis evaluated with a dedicated software analysing unstructured written narration of the experience of their invasive procedure.

    Time frame: From 5 to 30 minutes after the interventional procedure

  6. Changes in Mean Heart rate during the procedure (Heart rate variability measure)

    Calculation of Mean HR (beats/minute) on ECG samples recorded for 5 to 10 minutes

    Time frame: Baseline and at 5 minutes intervals (recorded for 5 to 10 minutes)

  7. Changes in RR during the procedure (Heart rate variability measure)

    Calculation of Mean RR interval (msec) on 5 to 10 minutes duration ECG samples.

    Time frame: Baseline and at 5 minutes intervals (5 to 10 minutes duration)

  8. Changes in SDNN during the procedure (Heart rate variability measure)

    Calculation of SDNN (msec) on 5 to 10 minutes duration ECG samples.

    Time frame: Baseline and at 5 minutes intervals (5 to 10 minutes duration)

  9. Changes in RMSSD during the procedure (Heart rate variability measure)

    Calculation of RMSSD (msec) on 5 to 10 minutes duration ECG samples.

    Time frame: Baseline and at 5 minutes intervals (5 to 10 minutes duration)

  10. Changes in pNN50 during the procedure (Heart rate variability measure)

    Calculation of pNN50 (%) on 5 to 10 minutes duration ECG samples.

    Time frame: Baseline and at 5 minutes intervals (5 to 10 minutes duration)

  11. Changes in pNN20 during the procedure (Heart rate variability measure)

    Calculation of pNN20 (%) on 5 to 10 minutes duration ECG samples.

    Time frame: Baseline and at 5 minutes intervals (5 to 10 minutes duration)

  12. Changes in pNN10 during the procedure (Heart rate variability measure)

    Calculation of pNN10 (%) on 5 to 10 minutes duration ECG samples.

    Time frame: Baseline and at 5 minutes intervals (5 to 10 minutes duration)

  13. Changes in pNN05 during the procedure (Heart rate variability measure)

    Calculation of pNN05 (%) on 5 to 10 minutes duration ECG samples.

    Time frame: Baseline and at 5 minutes intervals (5 to 10 minutes duration)

  14. Changes in SD1 during the procedure (Heart rate variability measure)

    Calculation of SD1 (msec) on 5 to 10 minutes duration ECG samples.

    Time frame: Baseline and at 5 minutes intervals (5 to 10 minutes duration)

  15. Changes in SD2 during the procedure (Heart rate variability measure)

    Calculation of SD2 (msec) on 5 to 10 minutes duration ECG samples.

    Time frame: Baseline and at 5 minutes intervals (5 to 10 minutes duration)

  16. Changes in SD1/SD2 during the procedure (Heart rate variability measure)

    Calculation of SD1/SD2 ratio (number) on 5 to 10 minutes duration ECG samples.

    Time frame: Baseline and at 5 minutes intervals (5 to 10 minutes duration)

  17. Changes in VB during the procedure (Heart rate variability measure)

    Calculation of VB (sec) on 5 to 10 minutes duration ECG samples.

    Time frame: Baseline and at 5 minutes intervals (5 to 10 minutes duration)

  18. Changes in Stress index during the procedure (Heart rate variability measure)

    Calculation of stress index (number) on 5 to 10 minutes duration ECG samples.

    Time frame: Baseline and at 5 minutes intervals (5 to 10 minutes duration)

  19. Changes in CV during the procedure (Heart rate variability measure)

    Calculation of CV (number) on 5 to 10 minutes duration ECG samples.

    Time frame: Baseline and at 5 minutes intervals (5 to 10 minutes duration)

  20. Changes in Power of frequency domains during the procedure (Heart rate variability measure)

    Calculation of the power of VLF, LF, HF and total frequency-domain power on 5 to 10 minutes duration ECG samples (ms2)

    Time frame: Baseline and at 5 minutes intervals (5 to 10 minutes duration)

  21. Postprocedural c-TnI peak concentration in patients undergoing coronary angioplasty

    Highest concentration in c-TnI in 3 blood samples

    Time frame: within 24 hours from interventional procedure

  22. Time-to-peak in c-TnI concentration in patients undergoing coronary angioplasty

    Time-to-Highest concentration in c-TnI in 3 blood samples

    Time frame: within 24 hours from interventional procedure

  23. Incidence of procedure-related myocardial infarction (myocardial infarction type 4a) in patients undergoing coronary angioplasty

    c-TnI concentration \>10 x the 99th percentile in at least 1/3 blood drawings

    Time frame: within 24 hours from interventional procedure

  24. Incidence of in-hospital Major Adverse Cardiac Events in patients undergoing coronary angioplasty

    Incidence of death, myocardial infarction, unplanned revascularization

    Time frame: Through study completion (average of 3 days)

07

Study locations

1 of 1 sites recruiting
  • San Filippo Neri General Hospital
    Roma, RM 00152, Italy
    Recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 4, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03507361
Lead sponsor
San Filippo Neri General Hospital
Responsible party
Christian Pristipino (Principal investigator, San Filippo Neri General Hospital) — Principal investigator
First posted
Apr 25, 2018
Start date
May 2, 2018
Primary completion
May 2021 (estimated)
Completion
Dec 2021 (estimated)
Last update
Apr 4, 2019

Study contacts

Christian Pristipino, MD
Contact
pristipino.c@gmail.com
0633062504

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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