ClinicalTrials.gg
RecruitingNCT07842770Updated Sep 25, 2026

TMS for Sympathetic Hyperactivity and Inflammation in Acute Myocardial Infarction

An interventional study of 1-Hz repetitive transcranial magnetic stimulation (rTMS) and Sham repetitive transcranial magnetic stimulation (sham rTMS) in Acute Myocardial Infarction (AMI), sponsored by Beijing Hospital. Recruiting at 1 site in China. Open to participants aged 30 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-09-25.

Sponsored by Beijing Hospital · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 4 months after the study started (first participant enrolled May 2026, registered Sep 2026).
  • Started May 2026; still recruiting 5 months later.
Updated Sep 25, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
30 Years to 75 Years
Sex
All
01

Study summary

The goal of this clinical trial is to learn whether repetitive transcranial magnetic stimulation (rTMS) can improve sympathetic hyperactivity and inflammatory responses in patients with acute myocardial infarction (AMI), as well as evaluate its safety and tolerability. The main questions it aims to answer are:

Can 1-Hz low-frequency rTMS targeting the right dorsolateral prefrontal cortex improve heart rate variability (SDNN) among patients with acute myocardial infarction? Is rTMS safe and well-tolerated for patients with acute myocardial infarction?

Researchers will compare real rTMS versus sham rTMS to see if real rTMS can reduce sympathetic over-activation and inflammation in AMI patients.

Participants will:

  • Receive either real repetitive transcranial magnetic stimulation or sham stimulation for 7 consecutive days on top of standard-of-care medication for AMI
  • Complete clinical assessments including electrocardiogram, Holter monitoring, echocardiography, blood laboratory tests for inflammatory markers at baseline, day 7, day 30, and 3-month follow-up
  • Undergo resting-state functional magnetic resonance imaging (rs-fMRI) scans at baseline and day 7
  • Fill out psychological and quality-of-life questionnaires (PHQ-9, SF-36) at scheduled study visits
  • Attend follow-up clinic visits to record adverse events and major adverse cardiovascular events
02

Conditions studied

  • Acute Myocardial Infarction (AMI)
03

In context

Myocardial Infarction

2,270 studies on the registry are indexed under Myocardial Infarction; 371 are open to participants now.

This study's planned enrollment of 100 is below the median of 150 across 1,314 interventional studies indexed under Myocardial Infarction.

Browse Myocardial Infarction studies →

Lead sponsor

Beijing Hospital is the lead sponsor of 51 studies on the registry; 23 are open to participants now.

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

04

Who can participate

Ages eligible
30 Years to 75 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

  1. Aged 30 to 75 years (inclusive), no restriction on sex;
  2. Diagnosed with acute myocardial infarction (AMI) in accordance with the Fourth Universal Definition of Myocardial Infarction (2018 ESC/ACC/AHA/WHF), with typical clinical manifestations, electrocardiographic changes and dynamic elevation of cardiac biomarkers;
  3. Received standardized reperfusion therapy (thrombolysis or percutaneous coronary intervention, PCI) with hemodynamic stability;
  4. Killip class I-II;
  5. Evidence of sympathetic activation: resting heart rate ≥90 beats per minute (after excluding confounders such as fever, thyroid dysfunction and severe anemia); reduced heart rate variability (e.g., SDNN \<100 ms) or frequency-domain indices indicating sympathetic predominance (e.g., elevated LF/HF ratio).

Exclusion criteria

Exclusion Criteria:

  1. Severe cardiac dysfunction: Killip class ≥ III, or (LVEF) \<30%;
  2. to TMS: history of seizure, intracranial surgery or cranial trauma, intracranial/intra-cranial metallic implants, implanted pacemaker or implantable cardioverter-defibrillator;
  3. Active severe infection, ongoing anti-tumor treatment, or severe hepatic/renal insufficiency (judged comprehensively by clinical and laboratory findings);
  4. Pregnant or breastfeeding women, or those with definite pregnancy plan during the study period;
  5. Alcohol or substance dependence, psychiatric or cognitive disorders resulting in poor adherence;
  6. Participation in another interventional clinical trial within the past 3 months that may interfere with interpretation of study results;
  7. Prior TMS treatment for other diseases;
  8. Other conditions judged by investigators to make the participant unsuitable for enrollment (e.g., uncontrolled persistent myocardial ischemia, arrhythmia, need for urgent cardiac surgery).
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    Active rTMS Group

    Participants receive 1-Hz repetitive transcranial magnetic stimulation (rTMS) targeting the right dorsolateral prefrontal cortex, once daily for 7 consecutive days, in addition to standard medical therapy for acute myocardial infarction.

    Device: 1-Hz repetitive transcranial magnetic stimulation (rTMS)

  • Sham comparator
    Sham rTMS Group

    Participants receive sham rTMS with identical procedure, coil placement and noise, without real magnetic stimulation, once daily for 7 consecutive days, in addition to standard medical therapy for acute myocardial infarction.

    Device: Sham repetitive transcranial magnetic stimulation (sham rTMS)

Interventions

  • Device1-Hz repetitive transcranial magnetic stimulation (rTMS)

    1 Hz low-frequency repetitive transcranial magnetic stimulation targeting the right dorsolateral prefrontal cortex, delivered once daily for 7 consecutive days. The stimulation is given on top of standard medication for acute myocardial infarction.

  • DeviceSham repetitive transcranial magnetic stimulation (sham rTMS)

    Sham repetitive transcranial magnetic stimulation with identical coil placement, operation noise and treatment schedule, without real magnetic field output. The intervention is delivered once daily for 7 consecutive days, combined with standard medical therapy for acute myocardial infarction.

06

What researchers measure

Primary outcomes

  1. Change in heart rate variability (SDNN) from baseline to day 7

    Time frame: Baseline and Day 7 (end of treatment)

07

Study locations

1 of 1 sites recruiting
  • Beijing Hospital, National Center of Gerontology
    Beijing, Beijing Municipality 100730, China
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Sep 25, 2026
Show all 1 update
  1. Sep 25, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07842770
Lead sponsor
Beijing Hospital
Responsible party
Xue Yu (Professor, Doctoral Supervisor, Department of Cardiology, Beijing Hospital) — Principal investigator
First posted
Sep 25, 2026
Start date
May 17, 2026
Primary completion
Oct 31, 2027 (estimated)
Completion
Jun 30, 2028 (estimated)
Last update
Sep 25, 2026

Study contacts

Xue Yu, MD
Contact
yuxuemd@aliyun.com
86+13910417876

Oversight

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

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