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Cited by 572

The DOI matches its Crossref record; 156 of the 156 references it cites were found in a registry or an index.

The Autonomic Nervous System and Heart Failure

Florea, Viorel G., Cohn, Jay N.·2014·Circulation Research

Abstract

The pathophysiology of heart failure (HF) is characterized by hemodynamic abnormalities that result in neurohormonal activation and autonomic imbalance with increase in sympathetic activity and withdrawal of vagal activity. Alterations in receptor activation from this autonomic imbalance may have profound effects on cardiac function and structure. Inhibition of the sympathetic drive to the heart through β-receptor blockade has become a standard component of therapy for HF with a dilated left ventricle because of its effectiveness in inhibiting the ventricular structural remodeling process and in prolonging life. Several devices for selective modulation of sympathetic and vagal activity have recently been developed in an attempt to alter the natural history of HF. The optimal counteraction of the excessive sympathetic activity is still unclear. A profound decrease in adrenergic support with excessive blockade of the sympathetic nervous system may result in adverse outcomes in clinical HF. In this review, we analyze the data supporting a contributory role of the autonomic functional alterations on the course of HF, the techniques used to assess autonomic nervous system activity, the evidence for clinical effectiveness of pharmacological and device interventions, and the potential future role of autonomic nervous system modifiers in the management of this syndrome.

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Metadata

Authors
Florea, V. G., & Cohn, J. N.
Venue
Circulation Research
Published
2014-05-23
Volume
114
Issue
11
Pages
1815-1826
ISSN
  • 0009-7330 (ISSN-L)
  • 1524-4571
OpenAlex
W2120671501
Cited by
572
References
156
FWCI
27.17
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: The Autonomic Nervous System and Heart Failure. https://app.cochat.ai/papers/10.1161/circresaha.114.302589
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Florea, V. G., & Cohn, J. N. (2014). The Autonomic Nervous System and Heart Failure. Circulation Research. https://doi.org/10.1161/circresaha.114.302589

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