The nervous heart

Prog Biophys Mol Biol. 2016 Jan;120(1-3):199-209. doi: 10.1016/j.pbiomolbio.2015.12.015. Epub 2016 Jan 11.

Abstract

Many cardiac electrophysiological abnormalities are accompanied by autonomic nervous system dysfunction. Here, we review mechanisms by which the cardiac nervous system controls normal and abnormal excitability and may contribute to atrial and ventricular tachyarrhythmias. Moreover, we explore the potential antiarrhythmic and/or arrhythmogenic effects of modulating the autonomic nervous system by several strategies, including ganglionated plexi ablation, vagal and spinal cord stimulations, and renal sympathetic denervation as therapies for atrial and ventricular arrhythmias.

Keywords: Atrial fibrillation; Autonomic control; Cardiac nerves; Ventricular tachycardia/fibrillation.

Publication types

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

MeSH terms

  • Animals
  • Heart Atria / innervation*
  • Heart Diseases / physiopathology
  • Heart Ventricles / innervation*
  • Humans
  • Nervous System Physiological Phenomena*