The autonomic nervous system as a therapeutic target in heart failure: a scientific position statement from the Translational Research Committee of the Heart Failure Association of the European Society of Cardiology.
Identifieur interne : 004F38 ( Ncbi/Checkpoint ); précédent : 004F37; suivant : 004F39The autonomic nervous system as a therapeutic target in heart failure: a scientific position statement from the Translational Research Committee of the Heart Failure Association of the European Society of Cardiology.
Auteurs : Marc Van Bilsen [Pays-Bas] ; Hitesh C. Patel [Royaume-Uni] ; Johann Bauersachs [Allemagne] ; Michael Böhm [Allemagne] ; Martin Borggrefe [Allemagne] ; Dirk Brutsaert [Belgique] ; Andrew J S. Coats [Australie] ; Rudolf A. De Boer [Pays-Bas] ; Gilles W. De Keulenaer [Belgique] ; Gerasimos S. Filippatos [Grèce] ; John Floras [Canada] ; Guido Grassi [Italie] ; Ewa A. Jankowska [Pologne] ; Lilian Kornet [Pays-Bas] ; Ida G. Lunde [Norvège] ; Christoph Maack [Allemagne] ; Felix Mahfoud [Allemagne] ; Piero Pollesello [Finlande] ; Piotr Ponikowski [Pologne] ; Frank Ruschitzka [Suisse] ; Hani N. Sabbah [États-Unis] ; Harold D. Schultz [États-Unis] ; Petar Seferovic [Serbie] ; Riemer H J A. Slart [Pays-Bas] ; Peter Taggart [Royaume-Uni] ; Carlo G. Tocchetti [Italie] ; Linda W. Van Laake [Pays-Bas] ; Faiez Zannad [France] ; Stephane Heymans [Pays-Bas] ; Alexander R. Lyon [Royaume-Uni]Source :
- European journal of heart failure [ 1879-0844 ] ; 2017.
Abstract
Despite improvements in medical therapy and device-based treatment, heart failure (HF) continues to impose enormous burdens on patients and health care systems worldwide. Alterations in autonomic nervous system (ANS) activity contribute to cardiac disease progression, and the recent development of invasive techniques and electrical stimulation devices has opened new avenues for specific targeting of the sympathetic and parasympathetic branches of the ANS. The Heart Failure Association of the European Society of Cardiology recently organized an expert workshop which brought together clinicians, trialists and basic scientists to discuss the ANS as a therapeutic target in HF. The questions addressed were: (i) What are the abnormalities of ANS in HF patients? (ii) What methods are available to measure autonomic dysfunction? (iii) What therapeutic interventions are available to target the ANS in patients with HF, and what are their specific strengths and weaknesses? (iv) What have we learned from previous ANS trials? (v) How should we proceed in the future?
DOI: 10.1002/ejhf.921
PubMed: 28949064
Affiliations:
- Allemagne, Australie, Belgique, Canada, Finlande, France, Grèce, Italie, Norvège, Pays-Bas, Pologne, Royaume-Uni, Serbie, Suisse, États-Unis
- Angleterre, Attique (région), Bade-Wurtemberg, Basse-Saxe, District de Karlsruhe, Grand Est, Grand Londres, Groningue (province), Lombardie, Lorraine (région), Michigan, Nebraska, Province d'Anvers, Région flamande, Utrecht (province), Østlandet
- Anvers, Athènes, Groningue, Groningue (ville), Hanovre, Londres, Mannheim, Milan, Nancy, Oslo, Utrecht
- University College de Londres, Université d'Anvers, Université de Groningue
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<country xml:lang="fr">Allemagne</country>
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<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>First Department of Medicine, Cardiology Division, University Medical Centre Mannheim, Mannheim</wicri:regionArea>
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<country xml:lang="fr">Belgique</country>
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<author><name sortKey="Coats, Andrew J S" sort="Coats, Andrew J S" uniqKey="Coats A" first="Andrew J S" last="Coats">Andrew J S. Coats</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Medicine, Monash University, Melbourne, Vic, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Medicine, Monash University, Melbourne, Vic</wicri:regionArea>
<wicri:noRegion>Vic</wicri:noRegion>
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<author><name sortKey="De Boer, Rudolf A" sort="De Boer, Rudolf A" uniqKey="De Boer R" first="Rudolf A" last="De Boer">Rudolf A. De Boer</name>
<affiliation wicri:level="3"><nlm:affiliation>Department of Cardiology, University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands.</nlm:affiliation>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Department of Cardiology, University Medical Centre Groningen, University of Groningen, Groningen</wicri:regionArea>
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<author><name sortKey="De Keulenaer, Gilles W" sort="De Keulenaer, Gilles W" uniqKey="De Keulenaer G" first="Gilles W" last="De Keulenaer">Gilles W. De Keulenaer</name>
<affiliation wicri:level="4"><nlm:affiliation>Laboratory of Physiopharmacology, University of Antwerp, Antwerp, Belgium.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Laboratory of Physiopharmacology, University of Antwerp, Antwerp</wicri:regionArea>
<orgName type="university">Université d'Anvers</orgName>
<placeName><settlement type="city">Anvers</settlement>
<region>Région flamande</region>
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<author><name sortKey="Filippatos, Gerasimos S" sort="Filippatos, Gerasimos S" uniqKey="Filippatos G" first="Gerasimos S" last="Filippatos">Gerasimos S. Filippatos</name>
<affiliation wicri:level="3"><nlm:affiliation>Department of Cardiology, School of Medicine, National and Kapodistrian University of Athens, Athens University Hospital Attikon, Athens, Greece.</nlm:affiliation>
<country xml:lang="fr">Grèce</country>
<wicri:regionArea>Department of Cardiology, School of Medicine, National and Kapodistrian University of Athens, Athens University Hospital Attikon, Athens</wicri:regionArea>
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<affiliation wicri:level="1"><nlm:affiliation>University Health Network and Sinai Health System Division of Cardiology, Peter Munk Cardiac Centre, Toronto General and Lunenfeld-Tanenbaum Research Institutes, University of Toronto, Toronto, ON, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>University Health Network and Sinai Health System Division of Cardiology, Peter Munk Cardiac Centre, Toronto General and Lunenfeld-Tanenbaum Research Institutes, University of Toronto, Toronto, ON</wicri:regionArea>
<wicri:noRegion>ON</wicri:noRegion>
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<author><name sortKey="Grassi, Guido" sort="Grassi, Guido" uniqKey="Grassi G" first="Guido" last="Grassi">Guido Grassi</name>
<affiliation wicri:level="3"><nlm:affiliation>Clinica Medica, Department of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Clinica Medica, Department of Medicine and Surgery, University of Milan-Bicocca, Milan</wicri:regionArea>
<placeName><settlement type="city">Milan</settlement>
<region nuts="2">Lombardie</region>
</placeName>
</affiliation>
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<author><name sortKey="Jankowska, Ewa A" sort="Jankowska, Ewa A" uniqKey="Jankowska E" first="Ewa A" last="Jankowska">Ewa A. Jankowska</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Heart Diseases, Wroclaw Medical University, Wroclaw, Poland.</nlm:affiliation>
<country xml:lang="fr">Pologne</country>
<wicri:regionArea>Department of Heart Diseases, Wroclaw Medical University, Wroclaw</wicri:regionArea>
<wicri:noRegion>Wroclaw</wicri:noRegion>
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</author>
<author><name sortKey="Kornet, Lilian" sort="Kornet, Lilian" uniqKey="Kornet L" first="Lilian" last="Kornet">Lilian Kornet</name>
<affiliation wicri:level="1"><nlm:affiliation>Medtronic, Inc., Bakken Research Centre, Maastricht, the Netherlands.</nlm:affiliation>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Medtronic, Inc., Bakken Research Centre, Maastricht</wicri:regionArea>
<wicri:noRegion>Maastricht</wicri:noRegion>
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</author>
<author><name sortKey="Lunde, Ida G" sort="Lunde, Ida G" uniqKey="Lunde I" first="Ida G" last="Lunde">Ida G. Lunde</name>
<affiliation wicri:level="3"><nlm:affiliation>Institute for Experimental Medical Research, Oslo University Hospital, University of Oslo, Oslo, Norway.</nlm:affiliation>
<country xml:lang="fr">Norvège</country>
<wicri:regionArea>Institute for Experimental Medical Research, Oslo University Hospital, University of Oslo, Oslo</wicri:regionArea>
<placeName><settlement type="city">Oslo</settlement>
<region nuts="2">Østlandet</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Maack, Christoph" sort="Maack, Christoph" uniqKey="Maack C" first="Christoph" last="Maack">Christoph Maack</name>
<affiliation wicri:level="1"><nlm:affiliation>Clinic for Internal Medicine III, Cardiology, Angiology and Intensive Internal Medicine, Homburg, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Clinic for Internal Medicine III, Cardiology, Angiology and Intensive Internal Medicine, Homburg</wicri:regionArea>
<wicri:noRegion>Homburg</wicri:noRegion>
<wicri:noRegion>Homburg</wicri:noRegion>
<wicri:noRegion>Homburg</wicri:noRegion>
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</author>
<author><name sortKey="Mahfoud, Felix" sort="Mahfoud, Felix" uniqKey="Mahfoud F" first="Felix" last="Mahfoud">Felix Mahfoud</name>
<affiliation wicri:level="1"><nlm:affiliation>Clinic for Internal Medicine III, Cardiology, Angiology and Intensive Internal Medicine, Homburg, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Clinic for Internal Medicine III, Cardiology, Angiology and Intensive Internal Medicine, Homburg</wicri:regionArea>
<wicri:noRegion>Homburg</wicri:noRegion>
<wicri:noRegion>Homburg</wicri:noRegion>
<wicri:noRegion>Homburg</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Pollesello, Piero" sort="Pollesello, Piero" uniqKey="Pollesello P" first="Piero" last="Pollesello">Piero Pollesello</name>
<affiliation wicri:level="1"><nlm:affiliation>Critical Care, Orion Pharma, Espoo, Finland.</nlm:affiliation>
<country xml:lang="fr">Finlande</country>
<wicri:regionArea>Critical Care, Orion Pharma, Espoo</wicri:regionArea>
<wicri:noRegion>Espoo</wicri:noRegion>
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</author>
<author><name sortKey="Ponikowski, Piotr" sort="Ponikowski, Piotr" uniqKey="Ponikowski P" first="Piotr" last="Ponikowski">Piotr Ponikowski</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Heart Diseases, Wroclaw Medical University, Wroclaw, Poland.</nlm:affiliation>
<country xml:lang="fr">Pologne</country>
<wicri:regionArea>Department of Heart Diseases, Wroclaw Medical University, Wroclaw</wicri:regionArea>
<wicri:noRegion>Wroclaw</wicri:noRegion>
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</author>
<author><name sortKey="Ruschitzka, Frank" sort="Ruschitzka, Frank" uniqKey="Ruschitzka F" first="Frank" last="Ruschitzka">Frank Ruschitzka</name>
<affiliation wicri:level="1"><nlm:affiliation>University Heart Centre, University Hospital Zurich, Zurich, Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>University Heart Centre, University Hospital Zurich, Zurich</wicri:regionArea>
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<author><name sortKey="Sabbah, Hani N" sort="Sabbah, Hani N" uniqKey="Sabbah H" first="Hani N" last="Sabbah">Hani N. Sabbah</name>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Medicine, Division of Cardiovascular Medicine, Henry Ford Hospital, Detroit, MI</wicri:regionArea>
<placeName><region type="state">Michigan</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Schultz, Harold D" sort="Schultz, Harold D" uniqKey="Schultz H" first="Harold D" last="Schultz">Harold D. Schultz</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Cellular and Integrative Physiology, University of Nebraska College of Medicine, Omaha, NE, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Cellular and Integrative Physiology, University of Nebraska College of Medicine, Omaha, NE</wicri:regionArea>
<placeName><region type="state">Nebraska</region>
</placeName>
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<author><name sortKey="Seferovic, Petar" sort="Seferovic, Petar" uniqKey="Seferovic P" first="Petar" last="Seferovic">Petar Seferovic</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Cardiology, Belgrade University Medical Centre, Belgrade, Serbia.</nlm:affiliation>
<country xml:lang="fr">Serbie</country>
<wicri:regionArea>Department of Cardiology, Belgrade University Medical Centre, Belgrade</wicri:regionArea>
<wicri:noRegion>Belgrade</wicri:noRegion>
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</author>
<author><name sortKey="Slart, Riemer H J A" sort="Slart, Riemer H J A" uniqKey="Slart R" first="Riemer H J A" last="Slart">Riemer H J A. Slart</name>
<affiliation wicri:level="4"><nlm:affiliation>Department of Nuclear Medicine and Molecular Imaging, University of Groningen, University Medical Centre Groningen, Groningen, the Netherlands.</nlm:affiliation>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Department of Nuclear Medicine and Molecular Imaging, University of Groningen, University Medical Centre Groningen, Groningen</wicri:regionArea>
<placeName><settlement type="city">Groningue</settlement>
<region nuts="2" type="province">Groningue (province)</region>
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<orgName type="university">Université de Groningue</orgName>
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<author><name sortKey="Taggart, Peter" sort="Taggart, Peter" uniqKey="Taggart P" first="Peter" last="Taggart">Peter Taggart</name>
<affiliation wicri:level="4"><nlm:affiliation>Department of Cardiovascular Science, University College London, Barts Heart Centre, London, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Cardiovascular Science, University College London, Barts Heart Centre, London</wicri:regionArea>
<placeName><settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
<settlement type="city">Londres</settlement>
</placeName>
<orgName type="university">University College de Londres</orgName>
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<author><name sortKey="Tocchetti, Carlo G" sort="Tocchetti, Carlo G" uniqKey="Tocchetti C" first="Carlo G" last="Tocchetti">Carlo G. Tocchetti</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Translational Medical Sciences, Federico II University, Naples, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Translational Medical Sciences, Federico II University, Naples</wicri:regionArea>
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<author><name sortKey="Van Laake, Linda W" sort="Van Laake, Linda W" uniqKey="Van Laake L" first="Linda W" last="Van Laake">Linda W. Van Laake</name>
<affiliation wicri:level="3"><nlm:affiliation>Department of Cardiology, Heart and Lungs Division, and Regenerative Medicine Centre, University Medical Centre Utrecht, Utrecht, the Netherlands.</nlm:affiliation>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Department of Cardiology, Heart and Lungs Division, and Regenerative Medicine Centre, University Medical Centre Utrecht, Utrecht</wicri:regionArea>
<placeName><settlement type="city">Utrecht</settlement>
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<author><name sortKey="Zannad, Faiez" sort="Zannad, Faiez" uniqKey="Zannad F" first="Faiez" last="Zannad">Faiez Zannad</name>
<affiliation wicri:level="3"><nlm:affiliation>INSERM, Centre for Clinical Investigation 9501, Unit 961, University Hospital Centre, Nancy, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>INSERM, Centre for Clinical Investigation 9501, Unit 961, University Hospital Centre, Nancy</wicri:regionArea>
<placeName><region type="region">Grand Est</region>
<region type="old region">Lorraine (région)</region>
<settlement type="city">Nancy</settlement>
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<author><name sortKey="Heymans, Stephane" sort="Heymans, Stephane" uniqKey="Heymans S" first="Stephane" last="Heymans">Stephane Heymans</name>
<affiliation wicri:level="3"><nlm:affiliation>Netherlands Heart Institute, Utrecht, the Netherlands.</nlm:affiliation>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Netherlands Heart Institute, Utrecht</wicri:regionArea>
<placeName><settlement type="city">Utrecht</settlement>
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<author><name sortKey="Lyon, Alexander R" sort="Lyon, Alexander R" uniqKey="Lyon A" first="Alexander R" last="Lyon">Alexander R. Lyon</name>
<affiliation wicri:level="3"><nlm:affiliation>National Institute for Health Research (NIHR) Cardiovascular Biomedical Research Unit, Royal Brompton Hospital, London, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>National Institute for Health Research (NIHR) Cardiovascular Biomedical Research Unit, Royal Brompton Hospital, London</wicri:regionArea>
<placeName><settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
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<series><title level="j">European journal of heart failure</title>
<idno type="eISSN">1879-0844</idno>
<imprint><date when="2017" type="published">2017</date>
</imprint>
</series>
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<front><div type="abstract" xml:lang="en">Despite improvements in medical therapy and device-based treatment, heart failure (HF) continues to impose enormous burdens on patients and health care systems worldwide. Alterations in autonomic nervous system (ANS) activity contribute to cardiac disease progression, and the recent development of invasive techniques and electrical stimulation devices has opened new avenues for specific targeting of the sympathetic and parasympathetic branches of the ANS. The Heart Failure Association of the European Society of Cardiology recently organized an expert workshop which brought together clinicians, trialists and basic scientists to discuss the ANS as a therapeutic target in HF. The questions addressed were: (i) What are the abnormalities of ANS in HF patients? (ii) What methods are available to measure autonomic dysfunction? (iii) What therapeutic interventions are available to target the ANS in patients with HF, and what are their specific strengths and weaknesses? (iv) What have we learned from previous ANS trials? (v) How should we proceed in the future?</div>
</front>
</TEI>
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