Key result
Proximal renal sympathetic nerve stimulation for 3 hours facilitated atrial fibrillation inducibility by upregulating cardiac autonomic nervous activity, suggesting kidney-heart autonomic cross talk.
RCT (n=28)
Randomly assigned
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Should not change AF management; leaves open kidney-heart autonomic cross talk as a therapeutic target.
BACKGROUND: Recent studies have demonstrated that there is a high variability of renal sympathetic nerve density distribution from proximal to distal renal artery segments. The aim of our study was to investigate the roles of renal sympathetic nerve stimulation (RSS) on atrial fibrillation and cardiac autonomic nervous activity. METHODS AND RESULTS: Twenty-eight dogs were randomly assigned to the proximal RSS group (P-RSS, N=7), middle RSS group (M-RSS, N=7), distal RSS group (D-RSS, N=7), and the control group (sham RSS, N=7). RSS was performed using electrical stimulation on the bilateral renal arteries for 3 hours. Effective refractory period and the window of vulnerability were measured at atrial and pulmonary veins sites. Superior left ganglionated plexi (SLGP) and left stellate ganglion (LSG) function and neural activity were determined. C-fos and nerve growth factor protein expression in the SLGP and LSG were examined. Only P-RSS (1) caused pronounced blood pressure rises, induced a significant decrease in effective refractory period, and generated a marked increase in cumulative window of vulnerability and effective refractory period dispersion; (2) increased the frequency and amplitude of the neural activity in the SLGP and LSG; (3) increased SLGP and LSG function; and (4) upregulated the level of c-fos and nerve growth factor expression in the SLGP and LSG. CONCLUSIONS: This study demonstrated that renal sympathetic nerve activation induced by 3 hours of P-RSS facilitated atrial fibrillation inducibility by upregulating cardiac autonomic nervous activity, suggesting a potential autonomic cross talk between kidney and heart.
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Yu et al. (2017) conducted an RCT in Atrial fibrillation (n=28). Renal sympathetic nerve stimulation (RSS) vs. Sham RSS was evaluated on Effective refractory period, window of vulnerability, and cardiac autonomic nervous activity. Proximal renal sympathetic nerve stimulation for 3 hours facilitated atrial fibrillation inducibility by upregulating cardiac autonomic nervous activity, suggesting kidney-heart autonomic cross talk.
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