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Evidence of impaired functional sympatholysis in patients with heart failure with preserved ejection fraction

Jeremy K. Alpenglow, Kanokwan Bunsawat, Michael A. Francisco, Jesse C. Craig, Jarred Iacovelli, John Ryan, D. Walter Wray

2023American Journal of Physiology-Heart and Circulatory Physiology18 citationsDOIOpen Access PDF

Abstract

Data from the current study suggest that functional sympatholysis, or the ability to adequately attenuate sympathetic nervous system (SNS)-mediated vasoconstriction during exercise, is impaired in patients with heart failure with preserved ejection fraction (HFpEF). These observations extend the current understanding of HFpEF pathophysiology by implicating inadequate functional sympatholysis as an important contributor to reduced exercising muscle blood flow in this patient group.

Topics & Concepts

MedicineCardiologyInternal medicineHeart failure with preserved ejection fractionVasoconstrictionHeart failureForearmBlood pressureEjection fractionSurgeryHeart Rate Variability and Autonomic ControlCardiovascular and exercise physiologyCardiac Health and Mental Health