2004
DOI: 10.1007/s00392-004-0137-6
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On the genesis of myocardial ischemia

Abstract: About three quarters of myocardial ischemic events are triggered by the autonomic nervous system. The pathognomonic constellation is a combination of an almost complete withdrawal of tonic vagal activity with increased sympathetic activity. The reduction of tonic vagal activity, which is characteristic for ischemic heart disease, and the acute withdrawal of vagal drive preceding the onset of ischemia are not dependent on coronary artery disease. In this paper, the pathophysiological steps that lead from sympat… Show more

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Cited by 25 publications
(24 citation statements)
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“…It is now widely accepted that imbalanced autonomic nervous system especially reduced vagal activity is an independent risk factor of cardiovascular diseases including heart failure, hypertension and myocardial infarction [13,14]. Vagal nerve stimulation has been implicated in chronic heart failure patients [15].…”
Section: Introductionmentioning
confidence: 99%
“…It is now widely accepted that imbalanced autonomic nervous system especially reduced vagal activity is an independent risk factor of cardiovascular diseases including heart failure, hypertension and myocardial infarction [13,14]. Vagal nerve stimulation has been implicated in chronic heart failure patients [15].…”
Section: Introductionmentioning
confidence: 99%
“…Electrochemical redox reaction of Cu(II) in different supporting electrolytes media in the acidic pH range [5][6][7][8][9][10] and basic medium 11,12 has been investigated because of its application in electrolysis, microelectronics, electroplating, sensors, batteries and biochemical catalytic systems 13 . The mechanism and kinetic behavior of the reduction of aquoCu(II) have been investigated using a number of electrochemical techniques, such as dc polarography 6,10,14 , ac polarography [6][7][8][9][10][11][12][13][14][15][16][17] , hydrodynamic voltammetry [18][19][20] , chronoamperometry at constant potential 8,21 , and coulometry 22,23 .…”
Section: Introductionmentioning
confidence: 99%
“…Similarly, expression of catecholaminergic traits such as DBH and TH are concurrently upregulated in these parasympathetic neurons after sympathectomy (Mione et al, 1991; Warn et al, 1997). If similar mechanisms are operative in the heart, then this could have major implications regarding cardiac function under conditions such as congestive heart failure and Parkinson’s disease, both of which are characterized by sympathetic nerve abnormalities and possible disturbances in vagal control of heart rate (Azevedo et al, 1999; Goldstein et al, 2002; Goldstein, 2004; Sroka, 2004). …”
Section: Discussionmentioning
confidence: 99%