Neuromodulation therapy for atrial fibrillation.

Humans Atrial Fibrillation Heart / innervation Autonomic Nervous System Heart Rate / physiology Sympathectomy Catheter Ablation
Atrial fibrillation Autonomics Ganglionated plexi Neurocardiac axis Neuromodulation

Journal

Heart rhythm
ISSN: 1556-3871
Titre abrégé: Heart Rhythm
Pays: United States
ID NLM: 101200317

Informations de publication

Date de publication:
01 2023
Historique:
received: 17 05 2022
revised: 07 08 2022
accepted: 12 08 2022
pubmed: 22 8 2022
medline: 10 1 2023
entrez: 21 8 2022
Statut: ppublish

Résumé

Atrial fibrillation has a multifactorial pathophysiology influenced by cardiac autonomic innervation. Both sympathetic and parasympathetic influences are profibrillatory. Innovative therapies targeting the neurocardiac axis include catheter ablation or pharmacologic suppression of ganglionated plexi, renal sympathetic denervation, low-level vagal stimulation, and stellate ganglion blockade. To date, these therapies have variable efficacy. As our understanding of atrial fibrillation and the cardiac nervous system expands, our approach to therapeutic neuromodulation will continue evolving for the benefit of those with AF.

Identifiants

DOI: 10.1016/j.hrthm.2022.08.011 PMID: 35988908 PMC: PMC10224761
pubmed: 35988908
pii: S1547-5271(22)02307-4
doi: 10.1016/j.hrthm.2022.08.011
pmc: PMC10224761
mid: NIHMS1894759
pii:
doi:

Types de publication

Journal Article Review Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

100-111

Subventions

Organisme : NHLBI NIH HHS
ID : K23 HL151744
Pays : United States
Organisme : NIA NIH HHS
ID : R01 AG074185
Pays : United States

Informations de copyright

Copyright © 2022 Heart Rhythm Society. Published by Elsevier Inc. All rights reserved.

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Auteurs

Maham F Karatela (MF)

Cardiac Electrophysiology Section, Duke Heart Center and Department of Medicine, Duke University Medical Center, Durham, North Carolina; Duke Clinical Research Institute, Durham, North Carolina.

Marat Fudim (M)

Cardiac Electrophysiology Section, Duke Heart Center and Department of Medicine, Duke University Medical Center, Durham, North Carolina; Duke Clinical Research Institute, Durham, North Carolina.

Joseph P Mathew (JP)

Department of Anesthesiology, Duke University, Durham, North Carolina.

Jonathan P Piccini (JP)

Cardiac Electrophysiology Section, Duke Heart Center and Department of Medicine, Duke University Medical Center, Durham, North Carolina; Duke Clinical Research Institute, Durham, North Carolina. Electronic address: jonathan.piccini@duke.edu.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Neuromodulation therapy for atrial fibrillation.
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Troubles du rythme cardiaque › Fibrillation auriculaire › Neuromodulation therapy for atrial fibrillation.
questionsmedicales.fr › Système cardiovasculaire › Coeur › Neuromodulation therapy for atrial fibrillation.
questionsmedicales.fr › Système nerveux › Système nerveux périphérique › Système nerveux autonome › Neuromodulation therapy for atrial fibrillation.
questionsmedicales.fr › Phénomènes physiologiques respiratoires et circulatoires › Phénomènes physiologiques cardiovasculaires › Hémodynamique › Rythme cardiaque › Neuromodulation therapy for atrial fibrillation.
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de neurochirurgie › Dénervation › Dénervation autonome › Sympathectomie › Neuromodulation therapy for atrial fibrillation.
questionsmedicales.fr › Procédures de chirurgie opératoire › Techniques d'ablation › Ablation par radiofréquence › Ablation par cathéter › Neuromodulation therapy for atrial fibrillation.