Evidence map›Paper›PMID 28629852›Full record

ArticleHeart rhythm2017

Bioelectronic block of paravertebral sympathetic nerves mitigates post-myocardial infarction ventricular arrhythmias.

Ray W Chui, Una Buckley, Pradeep S Rajendran, Tina Vrabec, Kalyanam Shivkumar, Jeffrey L Ardell

Abstract read
In one paragraph

Article in Heart rhythm, 2017. 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
2.3field-weighted citation impact, top 10% 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, 30 citations in OpenAlex.

  1. Review
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  8. Cardiac Neuroanatomy and Fundamentals of Neurocardiology.Cardiac electrophysiology clinics · 2024
    Review
  9. Review
  10. Review
  11. Review
  12. Scalable and reversible axonal neuromodulation of the sympathetic chain for cardiac control.American journal of physiology. Heart and circulatory physiology · 2022
    Article
  13. Article
  14. Fuzzy Logic Control of Heartrate by Electrical Block of Vagus Nerve.International IEEE/EMBS Conference on Neural Engineering : [proceedings]. International IEEE EMBS Conference on Neural Engineering · 2021
    Article
  15. Rapid measurement of cardiac neuropeptide dynamics by capacitive immunoprobe in the porcine heart.American journal of physiology. Heart and circulatory physiology · 2021
    Article
  16. Article
  17. Spinal cord neural network interactions: implications for sympathetic control of the porcine heart.American journal of physiology. Heart and circulatory physiology · 2020
    Article
  18. Review
  19. A Carbon Slurry Separated Interface Nerve Electrode for Electrical Block of Nerve Conduction.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2019
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Ray W ChuiUniversity of California-Los Angeles (UCLA) Cardiac Arrhythmia Center, David Geffen School of Medicine, Los Angeles, California; UCLA Neurocardiology Research Center of Excellence, Los Angeles, California; Molecular, Cellular & Integrative Physiology Program, UCLA, Los Angeles, California.
Una BuckleyUniversity of California-Los Angeles (UCLA) Cardiac Arrhythmia Center, David Geffen School of Medicine, Los Angeles, California; UCLA Neurocardiology Research Center of Excellence, Los Angeles, California.
Pradeep S RajendranUniversity of California-Los Angeles (UCLA) Cardiac Arrhythmia Center, David Geffen School of Medicine, Los Angeles, California; UCLA Neurocardiology Research Center of Excellence, Los Angeles, California; Molecular, Cellular & Integrative Physiology Program, UCLA, Los Angeles, California.
Tina VrabecDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio.
Kalyanam ShivkumarUniversity of California-Los Angeles (UCLA) Cardiac Arrhythmia Center, David Geffen School of Medicine, Los Angeles, California; UCLA Neurocardiology Research Center of Excellence, Los Angeles, California; Molecular, Cellular & Integrative Physiology Program, UCLA, Los Angeles, California.
Jeffrey L ArdellUniversity of California-Los Angeles (UCLA) Cardiac Arrhythmia Center, David Geffen School of Medicine, Los Angeles, California; UCLA Neurocardiology Research Center of Excellence, Los Angeles, California; Molecular, Cellular & Integrative Physiology Program, UCLA, Los Angeles, California. Electronic address: jardell@mednet.ucla.edu.
University of California, Los Angeles · USCase Western Reserve University · US

Funding

Comprehensive Structural and Functional Mapping of the Mammalian Cardiac Nervous SystemOT2OD023848 · OD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI EFIMOV, IGOR R, FOWLKES, CHARLESS · 2016 to 2021
$21.4M
Bioelectric monitoring and neuromodulation of the heartR01HL162921 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI KALYANAM SHIVKUMAR, Corey B Smith · 2023 to 2026
$3.4M
Minimally Invasive On Demand Electrical Nerve Block (OD-ENB) Device for Peripheral PainR41DA056250 · NIDA · H-CUBED, INC. · PI VRABEC, TINA LOUISE · 2023 to 2023
$260k
NHLBI NIH HHS R01 HL162921NIDA NIH HHS R41 DA056250NIH HHS OT2 OD023848
6 · The paper itself

Abstract

backgroundAutonomic dysfunction contributes to induction of ventricular tachyarrhythmia (VT).

objectiveTo determine the efficacy of charge-balanced direct current (CBDC), applied to the T1-T2 segment of the paravertebral sympathetic chain, on VT inducibility post-myocardial infarction (MI).

methodsIn a porcine model, CBDC was applied in acute animals (n = 7) to optimize stimulation parameters for sympathetic blockade and in chronic MI animals (n = 7) to evaluate the potential for VTs. Chronic MI was induced by microsphere embolization of the left anterior descending coronary artery. At termination, in anesthetized animals and following thoracotomy, an epicardial sock array was placed over both ventricles and a quadripolar carousel electrode positioned underlying the right T1-T2 paravertebral chain. In acute animals, the efficacy of CBDC carousel (CBDCC) block was assessed by evaluating cardiac function during T2 paravertebral ganglion stimulation with and without CBDCC. In chronic MI animals, VT inducibility was assessed by extrasystolic (S1-S2) stimulations at baseline and under >66% CBDCC blockade of T2-evoked sympathoexcitation.

resultsCBDCC demonstrated a current-dependent and reversible block without impacting basal cardiac function. VT was induced at baseline in all chronic MI animals. One animal died after baseline induction. Of the 6 remaining animals, only 1 was reinducible with simultaneous CBDCC application (P < .002 from baseline). The ventricular effective refractory period (VERP) was prolonged with CBDCC (323 ± 26 ms) compared to baseline (271 ± 32 ms) (P < .05).

conclusionsAxonal block of the T1-T2 paravertebral chain with CBDCC reduced VT in a chronic MI model. CBDCC prolonged VERP, without altering baseline cardiac function, resulting in improved electrical stability.

Indexed as

Action PotentialsAnimalsDisease Models, AnimalElectric Stimulation TherapyHeart RateMyocardial InfarctionSwineSympathetic Nervous SystemTachycardia, VentricularArrhythmiaAxonal modulation therapyCharge-balanced direct currentMyocardial infarctionSympathetic efferent neurons

Identifiers

PMID28629852
PMCPMC13333183
OpenAlexW2626896647

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.