Behaviour of the adrenergic cardiovascular drive in atrial fibrillation and cardiac arrhythmias

Guido Grassi, Gino Seravalle, Giovanni Bertinieri, Giuseppe Mancia

Research output: Contribution to journalArticlepeer-review

Abstract

Aim: Animal studies have conclusively shown that the sympathetic nervous system plays a major role not only in regulating sinus node activity but also in promoting cardiac rhythm alterations. Less univocal and often circumstantial have been the evidences collected on this issue in humans. However, the introduction of the microneurographic technique in clinical research has allowed to gain new important insights on the role of neuroadrenergic factors in the pathophysiology of cardiac arrhythmias. Methods: The present paper will review the results of microneurographic studies performed by our group and others in the field of cardiac rhythm disturbances by addressing three specific issues. First it will examine the relationships between heart rate and muscle sympathetic neural outflow in a variety of cardiovascular diseases characterized by sympathetic activation. This will be followed by an analysis of the behaviour of the sympathetic nerve traffic responses to paroxysmal atrial fibrillation. Finally, the sympathetic adjustments to spontaneously occurring or artificially induced premature ventricular contractions will be highlighted.

Original languageEnglish
Pages (from-to)399-404
Number of pages6
JournalActa Physiologica Scandinavica
Volume177
Issue number3
DOIs
Publication statusPublished - Mar 1 2003

Keywords

  • Arterial baroreceptors
  • Atrial fibrillation
  • Cardiac arrhythmias
  • Heart failure
  • Hypertension
  • Microneurography
  • Sympathetic nerve traffic

ASJC Scopus subject areas

  • Physiology

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