Cited by 237Heart Rate Variability and Autonomic ControlCardiac electrophysiology and arrhythmiasNeuroscience of respiration and sleep

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Neural control of the heart: Recent concepts and clinical correlations

Palma, Jose-Alberto, Benarroch, Eduardo E.·2014·Neurology

DOI 10.1212/wnl.0000000000000605

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Abstract

Areas distributed throughout the neuraxis, including the anterior insula, anterior cingulate cortex (ACC), amygdala, hypothalamus, periaqueductal gray matter, parabrachial nucleus, and several regions of the medulla, exert a beat-to-beat control on cardiac function. These areas are critically involved in emotional behavior, stress responses, and homeostatic reflexes and exert their influence on heart rate (HR) and cardiac contractility via the sympathetic and parasympathetic nervous systems. Over the past several years, advances in neuroanatomical, neurophysiologic, and functional imaging studies have provided insight into the central and peripheral mechanisms of neural control of cardiac function in humans. Whereas some issues, such as lateralization of this central control, remain unresolved, the adverse cardiac consequences of a wide variety of neurologic disorders emphasize the need to better understand the functional anatomy and neurochemical mechanisms of the neural control of the heart. Important examples are severe arrhythmias and myocardial injury in the setting of neurologic catastrophes and sudden unexplained death in epilepsy. This review will focus on some of the current experimental and clinical information related to these relevant issues for the neurologist.

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See all 237

Authors: Palma, J.-A., & Benarroch, E. E.
Affiliations: Mayo Clinic (US)
ORCID: Palma, Jose-Alberto
Benarroch, Eduardo E.
Venue: Neurology
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2014-07-15
Volume: 83
Issue: 3
Pages: 261-271
ISSN: 0028-3878 (ISSN-L)
1526-632X
DOI: 10.1212/wnl.0000000000000605
OpenAlex: W2074959430
Cited by: 237
References: 130
Citations by year: 2026: 15 · 2025: 21 · 2024: 35 · 2023: 29 · 2022: 20 · 2021: 26 · 2020: 18 · 2019: 20 · 2018: 16 · 2017: 14 · 2016: 13 · 2015: 9 · 2014: 1
FWCI: 1.99
Type: journal article
Language: en
Open access: closed
Locations: Neurology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Neuroscience of respiration and sleep
Keywords: cardiac autonomic regulation, heart rate, cardiac contractility, sympathetic nervous system, parasympathetic nervous system, anterior insula, anterior cingulate cortex, amygdala, hypothalamus, periaqueductal gray, parabrachial nucleus, medulla, emotional behavior, stress response, cardiac arrhythmias, myocardial injury, neurological disorders
MeSH terms: Autonomic Nervous System, Brain, Heart, Heart Diseases, Humans, Nervous System Diseases

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Neural control of the heart: Recent concepts and clinical correlations

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