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27.04.2016 | Original Paper

Effects of chronic carotid baroreceptor activation on arterial stiffness in severe heart failure

verfasst von: Edoardo Gronda, GianMaria Brambilla, Gino Seravalle, Alessandro Maloberti, Matteo Cairo, Giuseppe Costantino, Eric Lovett, Emilio Vanoli, Giuseppe Mancia, Guido Grassi

Erschienen in: Clinical Research in Cardiology | Ausgabe 10/2016

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Abstract

Background

Heart failure with reduced ejection fraction (HFrEF) is characterized by activation of the sympathetic nervous system and increased arterial stiffness, leading to an impaired ventricular-vascular coupling. Baroreflex activation therapy (BAT) has been shown to reduce muscle sympathetic nerve activity (MSNA) and improve clinical status of patients with HFrEF. The purpose of this investigation was to determine the effects of BAT on arterial stiffness in HFrEF.

Methods and results

MSNA, clinical variables, and parameters of central blood pressure (BP) and arterial stiffness were collected in 18 NYHA Class III HFrEF patients, nine receiving BAT and nine continuing with optimal medical management alone. Patients were followed for 3 months, with measurements at that time compared to baseline evaluation. Baseline characteristics of the groups were well matched. At 3 months, BAT did not improve central BP and arterial stiffness despite a significant amelioration of MSNA, NYHA class, Minnesota living with heart failure questionnaire score, number of heart failure medications and six-minute walking distance. The control group exhibited no significant changes in all the measured variables.

Conclusions

Despite significant reductions in MSNA and clinical improvement, BAT does not appear to chronically modify arterial stiffness within this HFrEF cohort. Additional study is required to determine if this result applies to the HFrEF population as a whole.

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Titel: Effects of chronic carotid baroreceptor activation on arterial stiffness in severe heart failure
verfasst von: Edoardo Gronda
GianMaria Brambilla
Gino Seravalle
Alessandro Maloberti
Matteo Cairo
Giuseppe Costantino
Eric Lovett
Emilio Vanoli
Giuseppe Mancia
Guido Grassi
Publikationsdatum: 27.04.2016
Verlag: Springer Berlin Heidelberg
Erschienen in: Clinical Research in Cardiology / Ausgabe 10/2016
Print ISSN: 1861-0684
Elektronische ISSN: 1861-0692
DOI: https://doi.org/10.1007/s00392-016-0992-y

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