Journal article

Basis for the preferential activation of cardiac sympathetic nerve activity in heart failure

R Ramchandra, SG Hood, DA Denton, RL Woods, MJ McKinley, RM McAllen, CN May

Proceedings of the National Academy of Sciences of the United States of America | Published : 2009

Abstract

In heart failure (HF) , sympathetic nerve activity is increased. Measurements in HF patients of cardiac norepinephrine spillover, reflecting cardiac sympathetic nerve activity (CSNA), indicate that it is increased earlier and to a greater extent than sympathetic activity to other organs. This has important consequences because it worsens prognosis, provoking arrhythmias and sudden death. To elucidate the mechanisms responsible for the activation of CSNA in HF, we made simultaneous direct neural recordings of CSNA and renal SNA (RSNA) in two groups of conscious sheep: normal animals and animals in HF induced by chronic, rapid ventricular pacing. In normal animals, the level of activity, measu..

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University of Melbourne Researchers

Grants

Awarded by National Heart, Lung, and Blood Institute


Funding Acknowledgements

The authors thank Tony Dornom for technical assistance and David Trevaks for Spike 2 programming. This work was supported by National Health and Medical Research Council (NHMRC) of Australia Grants 232313 and 509204, National Heart Lung and Blood Institute Grant 5-R01-HL-07 4932, the Harold and Leila Mathers Charitable Trust, The Search Foundation, the Robert J. and Helen C. Klegberg Foundation, NHMRC Research Fellowships 350328 (to C.N.M.), 454369 (to M. J. M.), and 277901 (R. M. M.), and National Heart Foundation of Australia Postdoctoral Research Fellowship PF07M3293 (to R. R.).