Clinical neurocardiology defining the value of neuroscience‐based cardiovascular therapeutics

The autonomic nervous system regulates all aspects of normal cardiac function, and is recognized to play a critical role in the pathophysiology of many cardiovascular diseases. As such, the value of neuroscience‐based cardiovascular therapeutics is increasingly evident. This White Paper reviews the...

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Published in:The Journal of physiology Vol. 594; no. 14; pp. 3911 - 3954
Main Authors: Shivkumar, Kalyanam, Ajijola, Olujimi A., Anand, Inder, Armour, J. Andrew, Chen, Peng‐Sheng, Esler, Murray, Ferrari, Gaetano M., Fishbein, Michael C., Goldberger, Jeffrey J., Harper, Ronald M., Joyner, Michael J., Khalsa, Sahib S., Kumar, Rajesh, Lane, Richard, Mahajan, Aman, Po, Sunny, Schwartz, Peter J., Somers, Virend K., Valderrabano, Miguel, Vaseghi, Marmar, Zipes, Douglas P.
Format: Journal Article
Language:English
Published: England Wiley Subscription Services, Inc 15.07.2016
John Wiley and Sons Inc
Subjects:
ISSN:0022-3751, 1469-7793, 1469-7793
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Abstract The autonomic nervous system regulates all aspects of normal cardiac function, and is recognized to play a critical role in the pathophysiology of many cardiovascular diseases. As such, the value of neuroscience‐based cardiovascular therapeutics is increasingly evident. This White Paper reviews the current state of understanding of human cardiac neuroanatomy, neurophysiology, pathophysiology in specific disease conditions, autonomic testing, risk stratification, and neuromodulatory strategies to mitigate the progression of cardiovascular diseases.
AbstractList The autonomic nervous system regulates all aspects of normal cardiac function, and is recognized to play a critical role in the pathophysiology of many cardiovascular diseases. As such, the value of neuroscience-based cardiovascular therapeutics is increasingly evident. This White Paper reviews the current state of understanding of human cardiac neuroanatomy, neurophysiology, pathophysiology in specific disease conditions, autonomic testing, risk stratification, and neuromodulatory strategies to mitigate the progression of cardiovascular diseases.
The autonomic nervous system regulates all aspects of normal cardiac function, and is recognized to play a critical role in the pathophysiology of many cardiovascular diseases. As such, the value of neuroscience-based cardiovascular therapeutics is increasingly evident. This White Paper reviews the current state of understanding of human cardiac neuroanatomy, neurophysiology, pathophysiology in specific disease conditions, autonomic testing, risk stratification, and neuromodulatory strategies to mitigate the progression of cardiovascular diseases.The autonomic nervous system regulates all aspects of normal cardiac function, and is recognized to play a critical role in the pathophysiology of many cardiovascular diseases. As such, the value of neuroscience-based cardiovascular therapeutics is increasingly evident. This White Paper reviews the current state of understanding of human cardiac neuroanatomy, neurophysiology, pathophysiology in specific disease conditions, autonomic testing, risk stratification, and neuromodulatory strategies to mitigate the progression of cardiovascular diseases.
Author Joyner, Michael J.
Somers, Virend K.
Ferrari, Gaetano M.
Esler, Murray
Khalsa, Sahib S.
Ajijola, Olujimi A.
Armour, J. Andrew
Schwartz, Peter J.
Shivkumar, Kalyanam
Harper, Ronald M.
Kumar, Rajesh
Mahajan, Aman
Vaseghi, Marmar
Zipes, Douglas P.
Anand, Inder
Lane, Richard
Fishbein, Michael C.
Goldberger, Jeffrey J.
Po, Sunny
Valderrabano, Miguel
Chen, Peng‐Sheng
AuthorAffiliation 6 Department of Pathology and Laboratory Medicine David Geffen School of Medicine at UCLA Los Angeles California USA
9 Division of Cardiovascular Diseases Mayo Clinic and Mayo Foundation Rochester MN USA
4 Baker IDI Heart and Diabetes Institute Melbourne Victoria Australia
10 Laureate Institute for Brain Research Tulsa OK USA
1 UCLA Cardiac Arrhythmia Center and Neurocardiology Research Center of Excellence Los Angeles CA USA
12 Department of Psychiatry University of Arizona College of Medicine Tucson AZ USA
16 Center for Cardiac Arrhythmias of Genetic Origin IRCCS Instituto Auxologico Italiano c/o Centro Diagnostico e di Ricerrca San Carlo Milan Italy
8 Department of Neurobiology and the Brain Research Institute University of California Los Angeles CA USA
2 Department of Cardiology University of Minnesota Medical School Minneapolis MN USA
5 Department of Molecular Medicine, University of Pavia Pavia Italy
14 Heart Rhythm Institute University of Oklahoma Health Sciences Center Oklahoma City OK U
AuthorAffiliation_xml – name: 13 Department of Anesthesia UCLA Los Angeles CA USA
– name: 10 Laureate Institute for Brain Research Tulsa OK USA
– name: 8 Department of Neurobiology and the Brain Research Institute University of California Los Angeles CA USA
– name: 16 Center for Cardiac Arrhythmias of Genetic Origin IRCCS Instituto Auxologico Italiano c/o Centro Diagnostico e di Ricerrca San Carlo Milan Italy
– name: 9 Division of Cardiovascular Diseases Mayo Clinic and Mayo Foundation Rochester MN USA
– name: 2 Department of Cardiology University of Minnesota Medical School Minneapolis MN USA
– name: 17 Methodist DeBakey Heart and Vascular Center and Methodist Hospital Research Institute Houston Methodist Hospital Houston TX USA
– name: 6 Department of Pathology and Laboratory Medicine David Geffen School of Medicine at UCLA Los Angeles California USA
– name: 12 Department of Psychiatry University of Arizona College of Medicine Tucson AZ USA
– name: 14 Heart Rhythm Institute University of Oklahoma Health Sciences Center Oklahoma City OK USA
– name: 1 UCLA Cardiac Arrhythmia Center and Neurocardiology Research Center of Excellence Los Angeles CA USA
– name: 3 Krannert Institute of Cardiology Indiana University School of Medicine Indianapolis IN USA
– name: 11 Departments of Anesthesiology and Radiological Sciences David Geffen School of Medicine at UCLA Los Angeles CA USA
– name: 18 Indiana University School of Medicine Indianapolis IN USA
– name: 4 Baker IDI Heart and Diabetes Institute Melbourne Victoria Australia
– name: 5 Department of Molecular Medicine, University of Pavia Pavia Italy
– name: 7 Division of Cardiology University of Miami Miller School of Medicine Miami FL USA
– name: 15 University of Tulsa Oxley College of Health Sciences Tulsa OK USA
Author_xml – sequence: 1
  givenname: Kalyanam
  surname: Shivkumar
  fullname: Shivkumar, Kalyanam
  organization: UCLA Cardiac Arrhythmia Center and Neurocardiology Research Center of Excellence
– sequence: 2
  givenname: Olujimi A.
  surname: Ajijola
  fullname: Ajijola, Olujimi A.
  organization: UCLA Cardiac Arrhythmia Center and Neurocardiology Research Center of Excellence
– sequence: 3
  givenname: Inder
  surname: Anand
  fullname: Anand, Inder
  organization: University of Minnesota Medical School
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  fullname: Armour, J. Andrew
  organization: UCLA Cardiac Arrhythmia Center and Neurocardiology Research Center of Excellence
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  fullname: Chen, Peng‐Sheng
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  surname: Goldberger
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  organization: University of Miami Miller School of Medicine
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  surname: Harper
  fullname: Harper, Ronald M.
  organization: University of California
– sequence: 11
  givenname: Michael J.
  surname: Joyner
  fullname: Joyner, Michael J.
  organization: Mayo Clinic and Mayo Foundation
– sequence: 12
  givenname: Sahib S.
  surname: Khalsa
  fullname: Khalsa, Sahib S.
  organization: Laureate Institute for Brain Research
– sequence: 13
  givenname: Rajesh
  surname: Kumar
  fullname: Kumar, Rajesh
  organization: David Geffen School of Medicine at UCLA
– sequence: 14
  givenname: Richard
  surname: Lane
  fullname: Lane, Richard
  organization: University of Arizona College of Medicine
– sequence: 15
  givenname: Aman
  surname: Mahajan
  fullname: Mahajan, Aman
  organization: UCLA
– sequence: 16
  givenname: Sunny
  surname: Po
  fullname: Po, Sunny
  organization: University of Tulsa Oxley College of Health Sciences
– sequence: 17
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  organization: Houston Methodist Hospital
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  organization: UCLA Cardiac Arrhythmia Center and Neurocardiology Research Center of Excellence
– sequence: 21
  givenname: Douglas P.
  surname: Zipes
  fullname: Zipes, Douglas P.
  organization: Indiana University School of Medicine
BackLink https://www.ncbi.nlm.nih.gov/pubmed/27114333$$D View this record in MEDLINE/PubMed
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CODEN JPHYA7
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ObjectType-Feature-2
content type line 14
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OpenAccessLink http://doi.org/10.1113/JP271870
PMID 27114333
PQID 1803969668
PQPubID 1086388
PageCount 44
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crossref_primary_10_1113_JP271870
crossref_citationtrail_10_1113_JP271870
wiley_primary_10_1113_JP271870_TJP7302
PublicationCentury 2000
PublicationDate 15 July 2016
PublicationDateYYYYMMDD 2016-07-15
PublicationDate_xml – month: 07
  year: 2016
  text: 15 July 2016
  day: 15
PublicationDecade 2010
PublicationPlace England
PublicationPlace_xml – name: England
– name: London
– name: Hoboken
PublicationTitle The Journal of physiology
PublicationTitleAlternate J Physiol
PublicationYear 2016
Publisher Wiley Subscription Services, Inc
John Wiley and Sons Inc
Publisher_xml – name: Wiley Subscription Services, Inc
– name: John Wiley and Sons Inc
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Snippet The autonomic nervous system regulates all aspects of normal cardiac function, and is recognized to play a critical role in the pathophysiology of many...
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SubjectTerms Animals
Autonomic Nervous System - physiology
Cardiovascular Conditions, Disorders and Treatments
Cardiovascular Diseases - physiopathology
Cardiovascular Diseases - therapy
Cardiovascular Physiology
Heart - innervation
Heart - physiology
Heart - physiopathology
Humans
Neuroscience
Neurosciences
Special section reviews: Cardiac autonomic control in health and disease
White Paper
Title Clinical neurocardiology defining the value of neuroscience‐based cardiovascular therapeutics
URI https://onlinelibrary.wiley.com/doi/abs/10.1113%2FJP271870
https://www.ncbi.nlm.nih.gov/pubmed/27114333
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https://pubmed.ncbi.nlm.nih.gov/PMC4945719
Volume 594
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