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Autonomic Neuromodulation for Preventing and Treating Ventricular Arrhythmias
- Source :
- Frontiers in Physiology, Vol 10 (2019), Frontiers in Physiology
- Publication Year :
- 2019
- Publisher :
- Frontiers Media SA, 2019.
-
Abstract
- The cardiac autonomic nervous system (CANS) is associated with modulation of cardiac electrophysiology and arrhythmogenesis. In this mini review, we will briefly introduce cardiac autonomic anatomy and autonomic activity in ventricular arrhythmias (VAs) and discuss novel approaches of CANS modulation for treating VAs. Studies over the decades have provided a better understanding of cardiac autonomic innervation and revealed overwhelming evidence of the relationship between autonomic tone and VAs. A high sympathetic tone and low parasympathetic (vagal) tone are considered as the major triggers of VAs in patients with myocardial ischemia, which can cause sudden cardiac death. In recent years, novel methods of autonomic neuromodulation have been investigated to prevent VAs, and they have been verified as being beneficial for malignant VAs in animal models and humans. The clinical outcome of autonomic neuromodulation depends on the level of cardiac neuraxis, stimulation parameters, and patient's pathological status. Since autonomic modulation for VA treatment is still in the early stage of clinical application, more basic and clinical studies should be performed to clarify these mechanisms and optimize autonomic neuromodulation therapies for patients with VAs in the future.
- Subjects :
- medicine.medical_specialty
Myocardial ischemia
Physiology
Review
cardiac autonomic nervous system
030204 cardiovascular system & hematology
lcsh:Physiology
Sudden cardiac death
03 medical and health sciences
0302 clinical medicine
Physiology (medical)
Internal medicine
Medicine
Pathological
neurorebalance
Sympathetic tone
lcsh:QP1-981
business.industry
Cardiac electrophysiology
ventricular arrhythmias
medicine.disease
Neurocardiology
Neuromodulation (medicine)
Autonomic nervous system
neuromodulation
Cardiology
neurocardiology
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 1664042X
- Volume :
- 10
- Database :
- OpenAIRE
- Journal :
- Frontiers in Physiology
- Accession number :
- edsair.doi.dedup.....c5b6813259d48391925dfc1d1f541593