The Parasympathetic Nervous System and Heart Failure: Pathophysiology and Potential Therapeutic Modalities for Heart Failure

Author(s):  
Brian Olshansky ◽  
Renee M. Sullivan ◽  
Wilson S. Colucci ◽  
Hani N. Sabbah
Circulation ◽  
2008 ◽  
Vol 118 (8) ◽  
pp. 863-871 ◽  
Author(s):  
Brian Olshansky ◽  
Hani N. Sabbah ◽  
Paul J. Hauptman ◽  
Wilson S. Colucci

Physiology ◽  
2000 ◽  
Vol 15 (3) ◽  
pp. 125-129 ◽  
Author(s):  
Roberto Corti ◽  
Christian Binggeli ◽  
Isabella Sudano ◽  
Lukas E. Spieker ◽  
René R. Wenzel ◽  
...  

Sympathetic nerve activity is altered and is a prognostic factor for many cardiovascular diseases such as hypertension, coronary syndromes, and congestive heart failure. Therefore, the selection of vasoactive drugs for the treatment of these diseases should also take into consideration their effects on the sympathetic nervous system.


2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Kazuhisa Sugai ◽  
Tomoyoshi Tamura ◽  
Motoaki Sano ◽  
Shizuka Uemura ◽  
Masahiko Fujisawa ◽  
...  

AbstractA recent clinical study demonstrated that haemodialysis with a dialysate containing hydrogen (H2) improves blood pressure control in end-stage kidney disease. Herein, we examined whether H2 has a salutary effect on hypertension in animal models. We subjected 5/6 nephrectomised rats to inhalation of either H2 (1.3% H2 + 21% O2 + 77.7% N2) or control (21% O2 + 79% N2) gas mixture for 1 h per day. H2 significantly suppressed increases in blood pressure after 5/6 nephrectomy. The anti-hypertensive effect of H2 was also confirmed in rats in a stable hypertensive state 3 weeks after nephrectomy. To examine the detailed effects of H2 on hypertension, we used an implanted telemetry system to continuously monitor blood pressure. H2 exerted an anti-hypertensive effect not only during daytime rest, but also during night-time activities. Spectral analysis of blood pressure variability revealed that H2 improved autonomic imbalance, namely by suppressing the overly active sympathetic nervous system and augmenting parasympathetic nervous system activity; these effects co-occurred with the blood pressure-lowering effect. In conclusion, 1-h daily exposure to H2 exerts an anti-hypertensive effect in an animal model of hypertension.


2010 ◽  
Vol 31 (7) ◽  
pp. 969-976 ◽  
Author(s):  
Jondavid Menteer ◽  
Paul M. Macey ◽  
Mary A. Woo ◽  
Ashok Panigrahy ◽  
Ronald M. Harper

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