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Current Cardiology Reports

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01-05-2019 | Neurotomy | Invasive Electrophysiology and Pacing (EK Heist, Section Editor)

Neuromodulation Approaches for Cardiac Arrhythmias: Recent Advances

Authors: Veronica Dusi, Ching Zhu, Olujimi A. Ajijola

Published in: Current Cardiology Reports | Issue 5/2019

Abstract

Purpose of Review

This review aims to describe the latest advances in autonomic neuromodulation approaches to treating cardiac arrhythmias, with a focus on ventricular arrhythmias.

Recent Findings

The increasing understanding of neuronal remodeling in cardiac diseases has led to the development and improvement of novel neuromodulation therapies targeting multiple levels of the autonomic nervous system. Thoracic epidural anesthesia, spinal cord stimulation, stellate ganglion modulatory therapies, vagal stimulation, renal denervation, and interventions on the intracardiac nervous system have all been studied in preclinical models, with encouraging preliminary clinical data.

Summary

The autonomic nervous system regulates all the electrical processes of the heart and plays an important role in the pathophysiology of cardiac arrhythmias. Despite recent advances in the clinical application of cardiac neuromodulation, our comprehension of the anatomy and function of the cardiac autonomic nervous system is still limited. Hopefully in the near future, more preclinical data combined with larger clinical trials will lead to further improvements in neuromodulatory treatment for heart rhythm disorders.

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Title: Neuromodulation Approaches for Cardiac Arrhythmias: Recent Advances
Authors: Veronica Dusi
Ching Zhu
Olujimi A. Ajijola
Publication date: 01-05-2019
Publisher: Springer US
Keywords: Neurotomy
Cardiac Arrhythmia
Cardiac Arrhythmia
Spinal Cord Stimulation
Ventricular Tachycardia
Nerve Stimulation
Published in: Current Cardiology Reports / Issue 5/2019
Print ISSN: 1523-3782
Electronic ISSN: 1534-3170
DOI: https://doi.org/10.1007/s11886-019-1120-1

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Neuromodulation Approaches for Cardiac Arrhythmias: Recent Advances

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