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https://www.readbyqxmd.com/read/27919011/cardiovascular-autonomic-and-hemodynamic-responses-to-vagus-nerve-stimulation-in-drug-resistant-epilepsy
#1
Iñigo Garamendi, Marian Acera, Marta Agundez, Lara Galbarriatu, Ainhoa Marinas, Iñigo Pomposo, Elena Valle, Jose-Alberto Palma, Juan C Gomez-Esteban
PURPOSE: Vagus nerve stimulation (VNS) is used as an adjunctive therapy for treating patients with drug-resistant epilepsy. The impact of VNS on cardiovascular autonomic function remains to be fully understood. We determined changes in cardiovascular sympathetic and parasympathetic, and hemodynamic function in association with VNS in patients with drug-resistant focal epilepsy. METHOD: Longitudinal (n=15) evaluation of beat-to-beat blood pressure (BP) and heart rate variability (HRV), baroreflex sensibility, and hemodynamic function performed before VNS implantation, 6-months after implantation, and a mean of 12-months after implantation; and cross-sectional study (n=14) of BP and HR variability and baroreflex sensitivity during VNS on and VNS off...
December 2, 2016: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/27917928/renal-denervation-improves-the-baroreflex-and-gaba-system-in-chronic-kidney-disease-induced-hypertension
#2
Hsin-Hung Chen, Pei-Wen Cheng, Wen-Yu Ho, Pei-Jung Lu, Chi-Cheng Lai, Yang-Ming Tseng, Hua-Chang Fang, Gwo-Ching Sun, Michael Hsiao, Chun-Peng Liu, Ching-Jiunn Tseng
Hypertensive rats with chronic kidney disease (CKD) exhibit enhanced gamma-aminobutyric acid (GABA)B receptor function and regulation within the nucleus tractus solitarii (NTS). For CKD with hypertension, renal denervation (RD) interrupts the afferent renal sympathetic nerves, which are connecting to the NTS. The objective of the present study was to investigate how RD improves CKD-induced hypertension. Rats underwent 5/6 nephrectomy for 8 weeks, which induced CKD and hypertension. RD was induced by applying phenol to surround the renal artery in CKD...
December 5, 2016: Scientific Reports
https://www.readbyqxmd.com/read/27900499/cardiac-parasympathetic-dysfunction-in-the-early-phase-of-parkinson-s-disease
#3
Masashi Suzuki, Tomohiko Nakamura, Masaaki Hirayama, Miki Ueda, Masahisa Katsuno, Gen Sobue
Cardiac parasympathetic function is strongly affected by aging. Although sympathetic dysfunction has been well documented in Parkinson's disease (PD), cardiac parasympathetic dysfunction has not been well studied. The objective of this study was to clarify the development of cardiac parasympathetic dysfunction in the early phase of PD and to explore the age-corrected correlation between cardiac parasympathetic dysfunction and cardiac sympathetic dysfunction. We reviewed 25 healthy controls and 56 patients with idiopathic PD of Hoehn and Yahr stages I-III...
November 29, 2016: Journal of Neurology
https://www.readbyqxmd.com/read/27895591/comparison-in-conscious-rabbits-of-the-baroreceptor-heart-rate-reflex-effects-of-chronic-treatment-with-rilmenidine-moxonidine-and-clonidine
#4
Monique L Parkin, Kyungjoon Lim, Sandra L Burke, Geoffrey A Head
We investigated the effects of chronic subcutaneous treatment with centrally-acting antihypertensive agents moxonidine, rilmenidine, and clonidine on the baroreflex control of heart rate (HR) in conscious normotensive rabbits over 3 weeks. Infusions of phenylephrine and nitroprusside were performed at week 0 and at weeks 1 and 3 of treatment to determine mean arterial pressure (MAP)-HR baroreflex relationships. A second curve was performed after intravenous methscopolamine to determine the sympathetic baroreflex relationship...
2016: Frontiers in Physiology
https://www.readbyqxmd.com/read/27895475/transcranial-direct-current-stimulation-improves-the-qt-variability-index-and-autonomic-cardiac-control-in-healthy-subjects-older-than-60-years
#5
Gianfranco Piccirillo, Cristina Ottaviani, Claudia Fiorucci, Nicola Petrocchi, Federica Moscucci, Claudia Di Iorio, Fabiola Mastropietri, Ilaria Parrotta, Matteo Pascucci, Damiano Magrì
BACKGROUND: Noninvasive brain stimulation technique is an interesting tool to investigate the causal relation between cortical functioning and autonomic nervous system (ANS) responses. OBJECTIVE: The objective of this report is to evaluate whether anodal transcranial direct current stimulation (tDCS) over the temporal cortex influences short-period temporal ventricular repolarization dispersion and cardiovascular ANS control in elderly subjects. SUBJECTS AND METHODS: In 50 healthy subjects (29 subjects younger than 60 years and 21 subjects older than 60 years) matched for gender, short-period RR and systolic blood pressure spectral variability, QT variability index (QTVI), and noninvasive hemodynamic data were obtained during anodal tDCS or sham stimulation...
2016: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/27885745/exaggerated-reactivity-of-parasympathetic-nerves-is-involved-in-ventricular-fibrillation-in-j-wave-syndrome
#6
Tetsuji Shinohara, Hidekazu Kondo, Toyokazu Otsubo, Akira Fukui, Kunio Yufu, Mikiko Nakagawa, Naohiko Takahashi
INTRODUCTION: Brugada syndrome (BrS) and early repolarization syndrome (ERS) are termed the J-wave syndrome. In most cases of J-wave syndrome, ventricular fibrillation (VF) often occurs around midnight or in the early morning when parasympathetic tone is augmented. OBJECTIVE: The purpose of this study was to clarify the relationship between VF and autonomic nervous activity in patients with J-wave syndrome. METHODS AND RESULTS: We enrolled 28 consecutive patients with J-wave syndrome (20 BrS and 8 ERS) in whom implantable cardioverter-defibrillators (ICDs) were implanted between January 2002 and December 2014...
November 25, 2016: Journal of Cardiovascular Electrophysiology
https://www.readbyqxmd.com/read/27878227/cardiovascular-coupling-during-graded-postural-challenge-comparison-between-linear-tools-and-joint-symbolic-analysis
#7
Alberto Porta, Anielle C M Takahashi, Aparecida M Catai
Background: A joint symbolic analysis (JSA) is applied to assess the strength of the cardiovascular coupling from spontaneous beat-to-beat variability of the heart period (HP) and the systolic arterial pressure (SAP) during an experimental protocol inducing a gradual baroreflex unloading evoked by postural change (i.e. graded head-up tilt). Method: The adopted JSA can quantify the degree of association between the HP and SAP variabilities as a function of the time scale of the HP and SAP patterns...
June 30, 2016: Brazilian Journal of Physical Therapy
https://www.readbyqxmd.com/read/27861895/effects-of-postural-change-from-supine-to-head-up-tilt-on-skin-sympathetic-nerve-activity-component-synchronised-with-cardiac-cycle-in-warmed-men
#8
Yu Ogawa, Yoshi-Ichiro Kamijo, Shigeki Ikegawa, Shizue Masuki, Hiroshi Nose
In humans, the cutaneous vasodilatation response to hyperthermia has been suggested to be suppressed by baroreflexes to maintain arterial pressure when the posture was changed from supine to upright, and if the reflexes do not function sufficiently, it can cause heat syncope. However, the efferent signals of the reflexes have not been identified. To identify the signals, we continuously measured skin sympathetic nerve activity (SSNA; microneurography), right atrial volume (RAV; echocardiography, the baroreceptors for the reflexes are reportedly located), cutaneous vascular conductance on the chest (CVCchest ; laser Doppler flowmetry), and oesophageal temperature (Toes ; thermocouple) in young men before and after passive warming with a perfusion suit, during which periods the posture was changed from supine to 30° head-up tilt positions...
November 8, 2016: Journal of Physiology
https://www.readbyqxmd.com/read/27857694/comparable-attenuation-of-sympathetic-nervous-system-activity-in-obese-subjects-with-normal-glucose-tolerance-impaired-glucose-tolerance-and-treatment-na%C3%A3-ve-type-2-diabetes-following-equivalent-weight-loss
#9
Nora E Straznicky, Mariee T Grima, Carolina I Sari, Elisabeth A Lambert, Sarah E Phillips, Nina Eikelis, Justin A Mariani, Daisuke Kobayashi, Dagmara Hering, John B Dixon, Gavin W Lambert
Background and Purpose: Elevated sympathetic nervous system (SNS) activity is a characteristic of obesity and type 2 diabetes (T2D) that contributes to target organ damage and cardiovascular risk. In this study we examined whether baseline metabolic status influences the degree of sympathoinhibition attained following equivalent dietary weight loss. Methods: Un-medicated obese individuals categorized as normal glucose tolerant (NGT, n = 15), impaired glucose tolerant (IGT, n = 24), and newly-diagnosed T2D (n = 15) consumed a hypocaloric diet (29% fat, 23% protein, 45% carbohydrate) for 4-months...
2016: Frontiers in Physiology
https://www.readbyqxmd.com/read/27856414/neurovascular-control-of-blood-pressure-is-influenced-by-aging-sex-and-sex-hormones
#10
Sarah Elizabeth Baker, Jacqueline K Limberg, Sushant M Ranadive, Michael J Joyner
In this review, we highlight that the relationship between muscle sympathetic nerve activity (MSNA) and mean arterial pressure is complex, differs by sex, and changes with age. In young men there is an inverse relationship between MSNA and cardiac output where high MSNA is compensated for by low cardiac output. This inverse relationship is not seen in older men. In young women sympathetic vasoconstriction is offset by β-adrenoreceptor mediated vasodilation, limiting the ability of young women to maintain blood pressure in response to orthostatic stress...
November 16, 2016: American Journal of Physiology. Regulatory, Integrative and Comparative Physiology
https://www.readbyqxmd.com/read/27854009/autonomic-modulation-with-baroreflex-activation-therapy-in-heart-failure
#11
REVIEW
Edoardo Gronda, Emilio Vanoli
Baroreflex activation therapy (BAT) produces a central inhibition of cardiac sympathetic outflow and, concomitantly, an increased cardiac vagal activity via a physiological reflex pathway. In a pilot study in 11 patients with NYHA class III heart failure (HF), BAT produced a persistent significant reduction of muscle sympathetic nerve activity over a 21-month follow-up and a dramatic decrease in the number and length of hospitalizations. In a multinational, prospective, randomized, parallel-controlled, clinical trial in 146 NYHA functional class III HF, BAT produced a significant N-terminal pro-brain natriuretic peptide reduction (p = 0...
November 16, 2016: Current Heart Failure Reports
https://www.readbyqxmd.com/read/27823896/impact-of-exercise-training-associated-to-pyridostigmine-treatment-on-autonomic-function-and-inflammatory-profile-after-myocardial-infarction-in-rats
#12
Daniele J Feriani, Gabriel I H Souza, Nicolle M Carrozzi, Cristiano Mostarda, Paulo M M Dourado, Fernanda M Consolim-Colombo, Kátia De Angelis, Heitor Moreno, Maria Cláudia Irigoyen, Bruno Rodrigues
BACKGROUND: The effects of exercise training (ET) associated with pyridostigmine bromide (PYR) treatment on cardiac and autonomic function, as well as on inflammatory profile after myocardial infarction (MI), are unclear. METHODS: Male Wistar rats were randomly assigned to: control (C); sedentary+infarcted (I); sedentary+infarcted treated with PYR (IP); infarcted submitted to aerobic exercise training (IT); and infarcted submitted to treatment with PYR and aerobic exercise training (ITP)...
October 26, 2016: International Journal of Cardiology
https://www.readbyqxmd.com/read/27810519/over-expression-of-v1a-receptors-in-pvn-modulates-autonomic-cardiovascular-control
#13
Maja Lozić, Tatjana Tasić, Andrew Martin, Michael Greenwood, Olivera Šarenac, Charles Hindmarch, Julian F Paton, David Murphy, Nina Japundžić-Žigon
The hypothalamic paraventricular nucleus (PVN) is a key integrative site for the neuroendocrine control of the circulation and of the stress response. It is also a major source of the neuropeptide hormone vasopressin (VP), and co-expresses V1a receptors (V1aR). We thus sought to investigate the role of V1aR in PVN in cardiovascular control in response to stress. Experiments were performed in male Wistar rats equipped with radiotelemetric device. The right PVN was transfected with adenoviral vectors (Ads) engineered to over-express V1aR along with an enhanced green fluorescent protein (eGFP) tag...
October 31, 2016: Pharmacological Research: the Official Journal of the Italian Pharmacological Society
https://www.readbyqxmd.com/read/27810517/changes-in-vagus-nerve-activity-associated-with-ictal-tachycardia-in-pigs
#14
Cristian Sevcencu, Thomas N Nielsen, Johannes J Struijk
OBJECTIVE: Ictal tachycardia (IT) is common and may pave the way towards cardiac conditions with high risk potential. However, the mechanisms of IT remain obscure and therefore difficult to control. For example, whereas IT is associated with a sympathetic surge, it is unclear why the IT effects are not opposed by baroreflex cardiac inhibition during seizures. As the vagus nerves (VN) are main mediators for such baroreflexes, this study was performed to investigate the VN activity in IT...
December 2016: Epilepsy Research
https://www.readbyqxmd.com/read/27808439/hippocampal-subareas-arranged-in-the-dorsal-ventral-axis-modulate-cardiac-baroreflex-function-in-a-site-dependent-manner-in-rats
#15
Nilson Carlos Ferreira-Junior, Davi Campos Lagatta, Denise Resende Fabri, Fernando Henrique Ferrari Alves, Fernando Morgan Aguiar Corrêa, Leonardo Barbosa Moraes Resstel
From a neuroanatomical point of view, we may split the hippocampal formation into the dorsal (DH) and ventral (VH) hippocampus. Although the basic intrinsic circuitry of the hippocampus seems to be maintained throughout its longitudinal axis, dorsal and ventral portions connect differently with cortical and subcortical areas and express different gene patterns, being functionally distinct. Differential stimulation of the DH or VH can evoke either an increase or a decrease in blood pressure (BP), heart rate (HR) and sympathetic activity...
November 3, 2016: Experimental Physiology
https://www.readbyqxmd.com/read/27792993/abnormal-autonomic-nervous-system-function-in-rural-thai-men-a-potential-contributor-to-their-high-risk-of-sudden-unexplained-nocturnal-death-syndrome
#16
Raoyrin Chanavirut, Terdthai Tong-Un, Dusit Jirakulsomchok, J Michael Wyss, Sanya Roysommuti
BACKGROUND: Rural compared to urban Thai populations have a higher incidence of sudden unexplained nocturnal death syndrome (SUNDS). This study tests the hypothesis that compared to young urban Thai men, the young rural northeast Thai men display autonomic system dysfunction that may contribute to their relatively high risk to develop SUNDS. METHODS: Forty-seven healthy second and third year students from Khon Kaen University (20-22years old) were divided into central, urban northeastern, and rural northeastern groups, based on the locality in which they had grown up and in which their parents had lived prior to their birth...
October 4, 2016: International Journal of Cardiology
https://www.readbyqxmd.com/read/27790154/ovarian-hormone-deprivation-reduces-oxytocin-expression-in-paraventricular-nucleus-preautonomic-neurons-and-correlates-with-baroreflex-impairment-in-rats
#17
Vitor U De Melo, Rayssa R M Saldanha, Carla R Dos Santos, Josiane De Campos Cruz, Vitor A Lira, Valter J Santana-Filho, Lisete C Michelini
The prevalence of cardiovascular diseases including hypertension increases dramatically in women after menopause, however the mechanisms involved remain incompletely understood. Oxytocinergic (OTergic) neurons are largely present within the paraventricular nucleus of the hypothalamus (PVN). Several studies have shown that OTergic drive from PVN to brainstem increases baroreflex sensitivity and improves autonomic control of the circulation. Since preautonomic PVN neurons express different types of estrogen receptors, we hypothesize that ovarian hormone deprivation causes baroreflex impairment, autonomic imbalance and hypertension by negatively impacting OTergic drive and oxytocin levels in pre-autonomic neurons...
2016: Frontiers in Physiology
https://www.readbyqxmd.com/read/27777356/prolonged-baroreflex-activation-abolishes-salt-induced-hypertension-after-reductions-in-kidney-mass
#18
Drew A Hildebrandt, Eric D Irwin, Thomas E Lohmeier
Chronic electric activation of the carotid baroreflex produces sustained reductions in sympathetic activity and arterial pressure and is currently being evaluated for therapy in patients with resistant hypertension. However, patients with significant impairment of renal function have been largely excluded from clinical trials. Thus, there is little information on blood pressure and renal responses to baroreflex activation in subjects with advanced chronic kidney disease, which is common in resistant hypertension...
October 24, 2016: Hypertension
https://www.readbyqxmd.com/read/27772769/cardiovascular-dysfunction-in-untreated-parkinson-s-disease-a-multi-modality-assessment
#19
Stefano Strano, Alessandra Fanciulli, Massimiliano Rizzo, Paolo Marinelli, Paolo Palange, Dorina Tiple, Giuseppe De Vincentis, Giovanni Calcagnini, Federica Censi, Giuseppe Meco, Carlo Colosimo
BACKGROUND: The clinical presentation of Parkinson's disease (PD) includes a wide spectrum of non-motor features, including cardiovascular autonomic failure. OBJECTIVE: To evaluate cardiovascular autonomic status and cardiac functional capacity in drug-naïve PD patients. METHODS: 18 newly-diagnosed PD patients underwent laboratory cardiovascular autonomic function tests using power spectral analysis of the R-R interval, blood pressure (BP) short-term variability and non-invasive baroreflex sensitivity (BRS)...
November 15, 2016: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/27765843/the-blood-pressure-reduction-after-gastric-bypass-surgery-is-explained-by-a-decrease-in-cardiac-output
#20
Peter Mathijs van Brussel, Bas van den Bogaard, Barbara A de Weijer, Jasper Truijen, Paul Ct Krediet, Ignace M Janssen, Arnold van de Laar, Karin A Kaasjager, Eric Fliers, Johannes J Van Lieshout, Mireille Johanna Serlie, Bert-Jan H van den Born
BACKGROUND: Blood pressure (BP) decreases in the first weeks after Roux-and-Y gastric bypass surgery. Yet, the pathophysiology of the BP lowering effects observed after gastric bypass surgery are incompletely understood. METHODS: We evaluated BP, systemic hemodynamics and baroreflex sensitivity in 15 obese women (mean age 42±7 yrs, body mass index 45±6 kg/m(2)) two weeks before and six weeks following Roux-and-Y gastric bypass surgery. RESULTS: Six weeks after gastric bypass surgery mean body weight decreased by 13±5 kg (10%, p<0...
October 20, 2016: Journal of Applied Physiology
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