Abstract
Increasing evidence has been provided in the past two decades for the presence of a tight relationship between the autonomic nervous system and sudden cardiac death. Initially the interest has mainly focused on the deleterious consequences of sympathetic hyperactivity on the occurrence of malignant arrhythmias, particularly during acute myocardial ischemia [1–5]. The main clinical implication of this knowledge has been the treatment of patients with a recent myocardial infarction with ß-adrenergic blockers [6].
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References
Lown B, Verrier RL. Neural activity and ventricular fibrillation. N Engl J Med 1976; 294: 1165–70.
Schwartz PJ, Brown AM, Malliani A, Zanchetti A, Editors. Neural Mechanisms in Cardiac Arrhythmias. New York: Raven Press 1978: 442.
Schwartz PJ, Stone HL. The role of the autonomic nervous system in sudden coronary death. Ann NY Acad Sei 1982; 382: 162–81.
Corr PB, Yamada KA, Witkowski FX. Mechanisms controlling cardiac autonomic function and their relation to arrhythmogenesis. In Fozzard HA, Haber E, Jennings RB, Katz AM, Morgan HE (eds): The heart and cardiovascular system, vol. II. New York: Raven Press 1986; 1343–403.
Schwartz PJ, Priori SG. Sympathetic nervous system and cardiac arrhythmias. In Zipes DP, Jalife J (eds): Cardiac electrophysiology. From cell to bedside. Philadelphia: WB Saunders Co. 1990; 330–43.
Yusuf S, Teo KK. Approaches to prevention of sudden death: need for fundamental réévaluation. J Cardiovasc Electrophysiol 1991; 2(Suppl): S233–S239.
Schwartz PJ, Stramba-Badiale M. Parasympathetic nervous system and cardiac arrhythmias. In Kulbertus HE, Frank G (eds): Neurocardiology. Mount Kisco, NY: Futura Publishing Co. 1988; 179–200.
De Ferrari GM, Schwartz PJ. Autonomic nervous system and arrhythmias. Ann NY Acad Sei 1990; 601: 247–62.
De Ferrari GM, Vanoli E, Schwartz PJ. Cardiac vagal activity, myocardial ischemia and sudden death. In Zipes DP, Jalife J (eds): Cardiac electrophysiology. From cell to bedside, 2nd edition. Philadelphia: WB Saunders Co. 1995; 422–34.
De Ferrari GM, Vanoli E, Schwartz PJ. Vagal activity and ventricular fibrillation. In Levy MN, Schwartz PJ (eds): Vagal control of the heart: experimental basis and clinical impli-cations. Armonk, NY: Futura Publishing Co. 1994; 613–36.
Schwartz PJ, Billman GE, Stone HL. Autonomic mechanisms in ventricular fibrillation induced by myocardial ischemia during exercise in dogs with a healed myocardial infarction. An experimental preparation for sudden cardiac death. Circulation 1984; 69: 780–90.
Billman GE, Schwartz PJ, Stone HL. Baroreceptor reflex control of heart rate: A pre-dictor of sudden cardiac death. Circulation 1982; 66: 874–80.
Schwartz PJ, Vanoli E, Stramba-Badiale M, De Ferrari GM, Billman GE, Foreman RD. Autonomic mechanisms and sudden death. New insights from analysis of baroreceptor reflexes in conscious dogs with and without a myocardial infarction. Circulation 1988; 78: 969–79.
La Rovere MT, Specchia G, Mortara A, Schwartz PJ. Baroreflex sensitivity, clinical correlates and cardiovascular mortality among patients with a first myocardial infarction: A prospective study. Circulation 1988; 78: 816–24.
Farrell TG, Odemuyiwa O, Bashir Y et al. Prognostic value of baroreflex sensitivity testing after acute myocardial infarction. Br Heart J 1992; 67: 129–37.
La Rovere MT, Bigger JT Jr, Marcus FI et al. on behalf of the ATRAMI Investigators: Prognostic value of depressed baroreflex sensitivity. The ATRAMI study, (abstr) Circulation 1995; 92: 1–676.
Kunze DL. Reflex discharge patterns of cardiac vagal efferent fibres. J Physiol 1972; 222: 1–15.
Schwartz PJ, Pagani M, Lombardi F, Malliani A, Brown AM. A cardiocardiac sympatho-vagal reflex in the cat. Circ Res 1973; 32: 215–20.
Cerati D, Schwartz PJ. Single cardiac vagal fiber activity, acute myocardial ischemia, and risk for sudden death. Circ Res 1991; 69: 1389–401.
De Ferrari GM, Vanoli E, Stramba-Badiale M, Hull SS Jr, Foreman RD, Schwartz PJ. Vagal reflexes and survival during acute myocardial ischemia in conscious dogs with healed myocardial infarction. Am J Physiol 1991; 261: H63–H69.
Vanoli E, De Ferrari GM, Stramba-Badiale M, Hull SS Jr, Foreman RD, Schwartz PJ. Vagal stimulation and prevention of sudden death in conscious dogs with a healed myocardial infarction. Circ Res 1991; 68: 1471–81.
De Ferrari GM, Salvati P, Grossoni M et al. Pharmacologic modulation of the autonomie nervous system in the prevention of sudden cardiac death. A study with propranolol, methacholine and oxotremorine in conscious dogs with a healed myocardial infarction. J Am Coll Cardiol 1993; 22: 283–90.
Farrell TG, Paul V, Cripps TR et al. Baroreflex sensitivity and electrophysiological correlates in patients after acute myocardial infarction. Circulation 1991; 83: 945–52.
De Ferrari GM, Landolina M, Mantica M, Manfredini R, Schwartz PJ, Lotto A. Baroreflex sensitivity, but not heart rate variability, is reduced in patients with life-threatening ventricular arrhythmias long after myocardial infarction. Am Heart J 1995; 130: 473–80.
Hohnloser SH, Klingeneheben T, van de Loo A, Hablawetz E, Just H, Schwartz PJ. Reflex versus tonic vagal activity as a prognostic parameter in patients with sustained ventricular tachycardia or ventricular fibrillation. Circulation 1994; 89: 1068–73.
De Ferrari GM, Landolina M, Mantica M et al. Determinants of haemodynamic tolerability of sustained ventricular tachycardia in patients with a previous myocardial infarction. Eur Heart J 1995; 16(Abstr Suppl): 277.
La Rovere MT, Mortara A, Bigger JT Jr et al. for the ATRAMI Investigators: Baroreflex sensitivity and the early identification of post-myocardial infarction patients at risk for acute heart failure: a case-control study. Eur Heart J 1995; 16(Abstr Suppl): 340.
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De Ferrari, G.M., Schwartz, P.J. (1996). Use of baroreceptor reflex sensitivity in the prediction of risk after myocardial infarction. In: Oto, M.A. (eds) Practice and Progress in Cardiac Pacing and Electrophysiology. Developments in Cardiovascular Medicine, vol 183. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-0219-0_10
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DOI: https://doi.org/10.1007/978-94-009-0219-0_10
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