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Autonomic Innervation Evaluation in Cardiac Disease
Journal article   Open access   Peer reviewed

Autonomic Innervation Evaluation in Cardiac Disease

Adriana Xavier de Brito, Adriana Glavam, Ana Inês Bronchtein and Paulo Henrique Rosado-De-castro
International journal of cardiovascular sciences, Vol.34(6), pp.702-713
12/01/2021
DOI: 10.36660/ijcs.20200171
url
https://doi.org/10.36660/ijcs.20200171View
Published (Version of record) Open Access

Abstract

Cardiovascular diseases are among the leading causes of mortality and morbidity in the world. In different cardiac diseases, the neuronal function of the heart is impaired. Nevertheless, the development of a simple method to assess the autonomic effects on the heart and/or autonomic dysfunction is a challenge. The evaluation of autonomic innervation in cardiac diseases has helped to improve the knowledge of the pathophysiology of these conditions, as well as to provide information on their prognosis. Single photon emission computed tomography (SPECT) and positron emission tomography (PET) are currently the only imaging methods that allow in vivo assessment of cardiac innervation. The majority of SPECT and PET radiotracers evaluate sympathetic neuronal integrity using presynaptic imaging agents that are either labeled as endogenous transmitters or analogues. Postsynaptic imaging agents have also been developed to study sympathetic neuronal integrity, as well as tracers to investigate the parasympathetic nervous system. These methods may be used to analyze the innervation of the heart and allow for early detection of abnormalities caused by, for example, ischemia, heart failure, cardiomyopathies, cardiotoxicity, and arrhythmogenic disorders. This review provides an overview of cardiac innervation evaluation and their application in the assessment of heart disease.
Heart Failure Autonomic Denervation Autonomic Nervous System Diagnostic, IImaging Myocardial Ischemia

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