PMID- 25382103 OWN - NLM STAT- MEDLINE DCOM- 20150901 LR - 20141124 IS - 1744-8344 (Electronic) IS - 1477-9072 (Linking) VI - 12 IP - 12 DP - 2014 Dec TI - Baroreflex activation therapy: a new treatment option for heart failure with reduced ejection fraction. PG - 1465-9 LID - 10.1586/14779072.2014.979790 [doi] AB - Sympathovagal imbalance plays a major role in the progression of heart failure with reduced ejection fraction. Baroreflex activation therapy (BAT) by electrical stimulation of baroreceptors located at the carotid sinus can reduce sympathetic and increase parasympathetic tone. This review provides an overview on the concept of BAT in heart failure with reduced ejection fraction and available preclinical and clinical data. Animal studies of BAT in heart failure with reduced ejection fraction have demonstrated a decline in plasma norepinephrine, an improved left ventricular ejection fraction, a reduced susceptibility to induced ventricular arrhythmias and a survival benefit. First clinical data from uncontrolled studies suggest a relevant improvement in muscle sympathetic nerve activity, ejection fraction, 6-min walk distance, New York Heart Association (NYHA) class and hospitalization rate. BAT appears to be safe in this severely ill patient population. FAU - Halbach, Marcel AU - Halbach M AD - Department of Internal Medicine III, Heart Center, University of Cologne, Kerpener Str. 62, 50937 Cologne, Germany. FAU - Hickethier, Tilman AU - Hickethier T FAU - Madershahian, Navid AU - Madershahian N FAU - Muller-Ehmsen, Jochen AU - Muller-Ehmsen J LA - eng PT - Journal Article PT - Review DEP - 20141110 PL - England TA - Expert Rev Cardiovasc Ther JT - Expert review of cardiovascular therapy JID - 101182328 SB - IM MH - Animals MH - Baroreflex/*physiology MH - Blood Pressure/physiology MH - Carotid Sinus/physiopathology MH - Heart Failure/*therapy MH - Humans MH - Pressoreceptors/*physiopathology MH - Ventricular Function, Left/*physiology OTO - NOTNLM OT - baroreceptor OT - baroreflex activation therapy OT - heart failure OT - interventional treatment OT - review EDAT- 2014/11/11 06:00 MHDA- 2015/09/02 06:00 CRDT- 2014/11/11 06:00 PHST- 2014/11/11 06:00 [entrez] PHST- 2014/11/11 06:00 [pubmed] PHST- 2015/09/02 06:00 [medline] AID - 10.1586/14779072.2014.979790 [doi] PST - ppublish SO - Expert Rev Cardiovasc Ther. 2014 Dec;12(12):1465-9. doi: 10.1586/14779072.2014.979790. Epub 2014 Nov 10.