Modulation of autonomic nervous signaling holds significant promise for the prevention and treatment of cardiac arrhythmias, though further clinical investigation is necessary to establish efficacy.
There is an increasing recognition of the importance of interactions between the heart and the autonomic nervous system in the pathophysiology of arrhythmias. These interactions play a role in both the initiation and maintenance of arrhythmias and are important in both atrial and ventricular arrhythmia. Given the importance of the autonomic nervous system in the pathophysiology of arrhythmias, there has been notable effort in the field to improve existing therapies and pioneer additional interventions directed at cardiac-autonomic targets. The interventions are targeted to multiple and different anatomic targets across the neurocardiac axis. The purpose of this review is to provide an overview of the rationale for neuromodulation in the treatment of arrhythmias and to review the specific treatments under evaluation and development for the treatment of both atrial fibrillation and ventricular arrhythmias.
Waldron et al. (Thu,) conducted a review in Heart Rhythm Disorders. Neuromodulation was evaluated. Modulation of autonomic nervous signaling holds significant promise for the prevention and treatment of cardiac arrhythmias, though further clinical investigation is necessary to establish efficacy.