Evidence map›Paper›PMID 25301713›Full record

ArticleAutonomic neuroscience : basic & clinical2014

Chronic spinal cord stimulation modifies intrinsic cardiac synaptic efficacy in the suppression of atrial fibrillation.

Jeffrey L Ardell, René Cardinal, Eric Beaumont, Michel Vermeulen, Frank M Smith, J Andrew Armour

Open access · greenAbstract read
In one paragraph

Article in Autonomic neuroscience : basic & clinical, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
6.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 41 citations in OpenAlex.

  1. Autonomic dysregulation and atrial arrhythmias.American journal of physiology. Cell physiology · 2025
    Review
  2. Review
  3. Article
  4. Neurocardiac Axis Physiology and Clinical Applications.International journal of cardiology. Heart & vasculature · 2024
    Review
  5. Cardiac Neuroanatomy and Fundamentals of Neurocardiology.Cardiac electrophysiology clinics · 2024
    Review
  6. Article
  7. Autonomic modulation of ventricular electrical activity: recent developments and clinical implications.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2021
    Review
  8. Review
  9. Review
  10. The effect of head-up tilt upon markers of heart rate variability in patients with atrial fibrillation.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2018
    Article
  11. Application of animal and human PET in cardiac research.American journal of cardiovascular disease · 2018
    Review
  12. Review
  13. Article
  14. Zebrafish heart as a model to study the integrative autonomic control of pacemaker function.American journal of physiology. Heart and circulatory physiology · 2016
    Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. The nervous heart.Progress in biophysics and molecular biology · 2016
    Review
  20. Autonomic Regulation Therapy in Heart Failure.Current heart failure reports · 2015
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Jeffrey L ArdellDepartment of Medicine, UCLA Health System, Los Angeles, CA, United States. Electronic address: jardell@mednet.ucla.edu.
René CardinalDepartment of Pharmacology, Faculté de médecine, Université de Montréal and Centre de recherche, Hôpital du Sacré-Cœur de Montréal, Montréal, Quebec, Canada.
Eric BeaumontDepartment of Biomedical Sciences, Quillen College of Medicine, East Tennessee State University, Johnson City, TN, United States.
Michel VermeulenDepartment of Pharmacology, Faculté de médecine, Université de Montréal and Centre de recherche, Hôpital du Sacré-Cœur de Montréal, Montréal, Quebec, Canada.
Frank M SmithDepartment of Medical Neuroscience, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
J Andrew ArmourDepartment of Medicine, UCLA Health System, Los Angeles, CA, United States.
Hôpital du Sacré-Cœur de Montréal · CAUCLA Health · USDalhousie University · CAEast Tennessee State University · US

Funding

Myocardial Ischemia Remodels the Cardiac Nervous SystemR01HL071830 · NHLBI · EAST TENNESSEE STATE UNIVERSITY · PI ARDELL, JEFFREY L · 2005 to 2013
$2.8M
CIHR MOP-11252NHLBI NIH HHS R01 HL071830NHLBI NIH HHS R01 HL71830
6 · The paper itself

Abstract

We sought to determine whether spinal cord stimulation (SCS) therapy, when applied chronically to canines, imparts long-lasting cardio-protective effects on neurogenic atrial tachyarrhythmia induction and, if so, whether its effects can be attributable to i) changes in intrinsic cardiac (IC) neuronal transmembrane properties vs ii) modification of their interneuronal stochastic interactivity that initiates such pathology. Data derived from canines subjected to long-term SCS [(group 1: studied after 3-4 weeks SCS; n = 5) (group 2: studied after 5 weeks SCS; n = 11)] were compared to data derived from 10 control animals (including 4 sham SCS electrode implantations). During terminal studies conducted under anesthesia, chronotropic and inotropic responses to vagal nerve or stellate ganglion stimulation were similar in all 3 groups. Chronic SCS suppressed atrial tachyarrhythmia induction evoked by mediastinal nerve stimulation. When induced, arrhythmia durations were shortened (controls: median of 27 s; SCS 3-4 weeks: median of 16s; SCS 5 weeks: median of 7s). Phasic and accommodating right atrial neuronal somata displayed similar passive and active membrane properties in vitro, whether derived from sham or either chronic SCS group. Synaptic efficacy was differentially enhanced in accommodating (not phasic) IC neurons by chronic SCS. Taken together these data indicate that chronic SCS therapy modifies IC neuronal stochastic inter-connectivity in atrial fibrillation suppression by altering synaptic function without directly targeting the transmembrane properties of individual IC neuronal somata.

Indexed as

Spinal Cord StimulationAnimalsAtrial FibrillationDogsElectrocardiographyImplantable NeurostimulatorsMembrane PotentialsNeuronsSpinal CordStellate GanglionTime FactorsVagus NerveVagus Nerve StimulationAtrial tachyarrhythmiaHeartIntrinsic cardiac neuronsNeuromodulationSpinal cord stimulation

Identifiers

PMID25301713
PMCPMC4607028
OpenAlexW1983873978

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.