Spinal cord stimulation for heart failure: Preclinical studies to determine optimal stimulation parameters for clinical efficacy

John C. Lopshire, Douglas P. Zipes

Research output: Contribution to journalArticle

19 Scopus citations

Abstract

Spinal cord stimulation with implantable devices has been used worldwide for decades to treat regional pain conditions and cardiac angina refractory to conventional therapies. Preclinical studies with spinal cord stimulation in experimental animal models of heart disease have described interesting effects on cardiac and autonomic nervous system physiology. In canine and porcine animals with failing hearts, spinal cord stimulation reverses left ventricular dilation and improves cardiac function, while suppressing the prevalence of cardiac arrhythmias. In this paper, we present further canine studies that determined the optimal site and intensity of spinal cord stimulation that produced the most robust and beneficial clinical response in heart failure animals. We then explore and discuss the clinically relevant aspects and potential impediments that may be encountered in translating spinal cord stimulation to human patients with advanced cardiac disease.

Original languageEnglish (US)
Pages (from-to)321-329
Number of pages9
JournalJournal of cardiovascular translational research
Volume7
Issue number3
DOIs
StatePublished - Apr 2014

Keywords

  • Animal models
  • Autonomic nervous system
  • Heart failure
  • Spinal cord stimulation
  • Ventricular arrhythmias

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Genetics
  • Genetics(clinical)
  • Molecular Medicine
  • Pharmaceutical Science
  • Medicine(all)

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