Neuromodulation interventions in the management of heart failure

Author:

Abdin Amr1,Lauder Lucas1,Fudim Marat23,Abraham William T.4,Anker Stefan D.5,Böhm Michael1,Mahfoud Felix1

Affiliation:

1. Internal Medicine Clinic III, Cardiology, Angiology and Intensive Care Medicine Saarland University Hospital Homburg Germany

2. Division of Cardiology Duke University School of Medicine Durham NC USA

3. Duke Clinical Research Institute Duke University School of Medicine Durham NC USA

4. Division of Cardiovascular Medicine The Ohio State University Columbus OH USA

5. Department of Cardiology (CVK) of German Heart Center Charité; Institute of Health Center for Regenerative Therapies (BCRT) German Centre for Cardiovascular Research (DZHK) partner site Berlin, Charité Universitätsmedizin Berlin Germany

Abstract

AbstractDespite remarkable improvements in the management of heart failure (HF), HF remains one of the most rapidly growing cardiovascular condition resulting in a substantial burden on healthcare systems worldwide. In clinical practice, however, a relevant proportion of patients are treated with suboptimal combinations and doses lower than those recommended in the current guidelines. Against this background, it remains important to identify new targets and investigate additional therapeutic options to alleviate symptoms and potentially improve prognosis in HF. Therefore, non‐pharmacological interventions targeting autonomic imbalance in HF have been evaluated. This paper aims to review the physiology, available clinical data, and potential therapeutic role of device‐based neuromodulation in HF.

Publisher

Wiley

Subject

Cardiology and Cardiovascular Medicine

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