Devices and interventions for the prevention of adverse outcomes of tachycardia on heart failure.

Abstract:

:Heart failure (HF) is the leading cause of hospitalization in the USA. Despite advances in pharmacologic management, the incidence of HF is on the rise and survivability is persistently reduced. Sympathetic overdrive is implicated in the pathophysiology of HF, particularly HF with reduced ejection fraction (HFrEF). Tachycardia can be particularly deleterious and thus has spurred significant investigation to mitigate its effects. Various modalities including vagus nerve stimulation, baroreceptor activation therapy, spinal cord stimulation, renal sympathetic nerve denervation, left cardiac sympathetic denervation, and carotid body removal will be discussed. However, the effects of these modalities on tachycardia and its outcomes in HFrEF have not been well-studied. Further studies to characterize this are necessary in the future.

journal_name

Heart Fail Rev

journal_title

Heart failure reviews

authors

Devgun J,Jobanputra YB,Arustamyan M,Chait R,Ghumman W

doi

10.1007/s10741-018-9680-5

subject

Has Abstract

pub_date

2018-07-01 00:00:00

pages

507-516

issue

4

eissn

1382-4147

issn

1573-7322

pii

10.1007/s10741-018-9680-5

journal_volume

23

pub_type

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