scholarly journals Tackling Inflammation in Heart Failure With Preserved Ejection Fraction: Resurrection of Vagus Nerve Stimulation?

2022 ◽  
Author(s):  
Veraprapas Kittipibul ◽  
Marat Fudim
Keyword(s):  
Heart Failure ◽  
Ejection Fraction ◽  
Vagus Nerve ◽  
Nerve Stimulation ◽  
Vagus Nerve Stimulation ◽  
Preserved Ejection Fraction

scholarly journals Low-level transcutaneous vagus nerve stimulation attenuates cardiac remodelling in a rat model of heart failure with preserved ejection fraction

2018 ◽  
Vol 104 (1) ◽  
pp. 28-38 ◽  
Author(s):  
Liping Zhou ◽  
Adrian Filiberti ◽  
Mary Beth Humphrey ◽  
Christian D. Fleming ◽  
Benjamin J. Scherlag ◽  
...  
Keyword(s):  
Heart Failure ◽  
Ejection Fraction ◽  
Vagus Nerve ◽  
Rat Model ◽  
Nerve Stimulation ◽  
Vagus Nerve Stimulation ◽  
Cardiac Remodelling ◽  
Preserved Ejection Fraction ◽  
Low Level ◽  
Transcutaneous Vagus Nerve Stimulation

scholarly journals Neuromodulation of Inflammation to Treat Heart Failure With Preserved Ejection Fraction: A Pilot Randomized Clinical Trial

2022 ◽  
Author(s):  
Stavros Stavrakis ◽  
Khaled Elkholey ◽  
Lynsie Morris ◽  
Monika Niewiadomska ◽  
Zain Ul Abideen Asad ◽  
...  
Keyword(s):  
Heart Failure ◽  
Ejection Fraction ◽  
Vagus Nerve ◽  
Nerve Stimulation ◽  
Vagus Nerve Stimulation ◽  
Global Longitudinal Strain ◽  
Preserved Ejection Fraction ◽  
Low Level ◽  
Transcutaneous Vagus Nerve Stimulation ◽  
Patients With Heart Failure

Background A systemic proinflammatory state plays a central role in the development of heart failure with preserved ejection fraction. Low‐level transcutaneous vagus nerve stimulation suppresses inflammation in humans. We conducted a sham‐controlled, double‐blind, randomized clinical trial to examine the effect of chronic low‐level transcutaneous vagus nerve stimulation on cardiac function, exercise capacity, and inflammation in patients with heart failure with preserved ejection fraction. Methods and Results Patients with heart failure with preserved ejection fraction and at least 2 additional comorbidities (obesity, diabetes, hypertension, or age ≥65 years) were randomized to either active (tragus) or sham (earlobe) low‐level transcutaneous vagus nerve stimulation (20 Hz, 1 mA below discomfort threshold), for 1 hour daily for 3 months. Echocardiography, 6‐minute walk test, quality of life, and serum cytokines were assessed at baseline and 3 months. Fifty‐two patients (mean age 70.4±9.2 years; 70% female) were included (active, n=26; sham, n=26). Baseline characteristics were balanced between the 2 arms. Adherence to the protocol of daily stimulation was >90% in both arms ( P >0.05). While the early mitral inflow Doppler velocity to the early diastolic mitral annulus velocity ratio did not differ between groups, global longitudinal strain and tumor necrosis factor‐α levels at 3 months were significantly improved in the active compared with the sham arm (−18.6%±2.5% versus −16.0%±2.4%, P =0.002; 8.9±2.8 pg/mL versus 11.3±2.9 pg/mL, P =0.007, respectively). The reduction in tumor necrosis factor‐α levels correlated with global longitudinal strain improvement (r=−0.73, P =0.001). Quality of life was better in the active arm. No device‐related side effects were observed. Conclusions Neuromodulation with low‐level transcutaneous vagus nerve stimulation over 3 months resulted in a significant improvement in global longitudinal strain, inflammatory cytokines, and quality of life in patients with heart failure with preserved ejection fraction. Registration URL: https://www.clinicaltrials.gov ; Unique identifier: NCT03327649.

scholarly journals Therapeutic responsiveness to vagus nerve stimulation in patients receiving beta-blockade for heart failure with reduced ejection fraction

2021 ◽  
Vol 37 ◽  
pp. 100888
Author(s):  
Enea Dede ◽  
Douglas D. Gregory ◽  
Jeffrey L. Ardell ◽  
Imad Libbus ◽  
Lorenzo A. DiCarlo ◽  
...  
Keyword(s):  
Heart Failure ◽  
Ejection Fraction ◽  
Vagus Nerve ◽  
Nerve Stimulation ◽  
Vagus Nerve Stimulation ◽  
Beta Blockade ◽  
Reduced Ejection Fraction

scholarly journals Effect of defibrillation on the performance of an implantable vagus nerve stimulation system

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Imad Libbus ◽  
Scott R. Stubbs ◽  
Scott T. Mazar ◽  
Scott Mindrebo ◽  
Bruce H. KenKnight ◽  
...  
Keyword(s):  
Heart Failure ◽  
Cardiac Function ◽  
Vagus Nerve ◽  
Nerve Stimulation ◽  
Vagus Nerve Stimulation ◽  
Pulse Generator ◽  
High Energy ◽  
Implantable Pulse Generator ◽  
Defibrillation Pulse ◽  
Stimulation System

Abstract Background Vagus Nerve Stimulation (VNS) delivers Autonomic Regulation Therapy (ART) for heart failure (HF), and has been associated with improvement in cardiac function and heart failure symptoms. VNS is delivered using an implantable pulse generator (IPG) and lead with electrodes placed around the cervical vagus nerve. Because HF patients may receive concomitant cardiac defibrillation therapy, testing was conducted to determine the effect of defibrillation (DF) on the VNS system. Methods DF testing was conducted on three ART IPGs (LivaNova USA, Inc.) according to international standard ISO14708-1, which evaluated whether DF had any permanent effects on the system. Each IPG was connected to a defibrillation pulse generator and subjected to a series of high-energy pulses. Results The specified series of pulses were successfully delivered to each of the three devices. All three IPGs passed factory electrical tests, and interrogation confirmed that software and data were unchanged from the pre-programmed values. No shifts in parameters or failures were observed. Conclusions Implantable VNS systems were tested for immunity to defibrillation, and were found to be unaffected by a series of high-energy defibrillation pulses. These results suggest that this VNS system can be used safely and continue to function after patients have been defibrillated.

Right Vagus Nerve Stimulation With a Novel Self-Sizing Cuff Electrode Improves Left Ventricular Function in Dogs With Heart Failure

2015 ◽  
Vol 21 (8) ◽  
pp. S93 ◽  
Author(s):  
Hani N. Sabbah ◽  
Mengjun Wang ◽  
Kefei Zhang ◽  
Ramesh C. Gupta ◽  
Maxime Lemonnier ◽  
...  
Keyword(s):  
Heart Failure ◽  
Left Ventricular Function ◽  
Vagus Nerve ◽  
Ventricular Function ◽  
Nerve Stimulation ◽  
Vagus Nerve Stimulation ◽  
Left Ventricular ◽  
Cuff Electrode

scholarly journals RIGHT VAGUS NERVE STIMULATION IMPROVES LEFT VENTRICULAR FUNCTION IN DOGS WITH HEART FAILURE

2010 ◽  
Vol 55 (10) ◽  
pp. A16.E151 ◽  
Author(s):  
Hani N. Sabbah ◽  
Mengjun Wang ◽  
Alice Jiang ◽  
Stephen B. Ruble ◽  
Jason J. Hamann
Keyword(s):  
Heart Failure ◽  
Left Ventricular Function ◽  
Vagus Nerve ◽  
Ventricular Function ◽  
Nerve Stimulation ◽  
Vagus Nerve Stimulation ◽  
Left Ventricular
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