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 |
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| Main Authors: | , , , , , , , , , , , , , , , , , , , , |
| 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 |
| Online Access: | Get full text |
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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. |
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| 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 – sequence: 4 givenname: J. Andrew surname: Armour fullname: Armour, J. Andrew organization: UCLA Cardiac Arrhythmia Center and Neurocardiology Research Center of Excellence – sequence: 5 givenname: Peng‐Sheng surname: Chen fullname: Chen, Peng‐Sheng organization: Indiana University School of Medicine – sequence: 6 givenname: Murray surname: Esler fullname: Esler, Murray organization: Baker IDI Heart and Diabetes Institute – sequence: 7 givenname: Gaetano M. surname: Ferrari fullname: Ferrari, Gaetano M. organization: Department of Molecular Medicine, University of Pavia – sequence: 8 givenname: Michael C. surname: Fishbein fullname: Fishbein, Michael C. organization: David Geffen School of Medicine at UCLA – sequence: 9 givenname: Jeffrey J. surname: Goldberger fullname: Goldberger, Jeffrey J. organization: University of Miami Miller School of Medicine – sequence: 10 givenname: Ronald M. 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 givenname: Peter J. surname: Schwartz fullname: Schwartz, Peter J. organization: IRCCS Instituto Auxologico Italiano – sequence: 18 givenname: Virend K. surname: Somers fullname: Somers, Virend K. organization: Mayo Clinic and Mayo Foundation – sequence: 19 givenname: Miguel surname: Valderrabano fullname: Valderrabano, Miguel organization: Houston Methodist Hospital – sequence: 20 givenname: Marmar surname: Vaseghi fullname: Vaseghi, Marmar 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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