Carotid body removal for treatment of chronic systolic heart failure.

Published

Journal Article

Augmented reflex response from peripheral chemoreceptors characterises chronic heart failure (CHF), contributes to autonomic imbalance and exercise intolerance and predicts poor outcome.We present a case of a 56-year-old male patient with ischaemic CHF, who underwent surgical, unilateral carotid body resection to reduce peripheral chemosensitivity. At 2-month and 6-month follow-ups, we document a persistent decrease in peripheral chemosensitivity accompanied by an improvement in exercise capacity, sleep disordered breathing and quality of life. Autonomic balance was favourably affected as evidenced by improved heart rate variability and augmented cardiac baroreflex sensitivity. There were no procedure-related adverse events.Denervation of a carotid body may offer a clinical strategy to restore autonomic balance and improve morbidity in heart failure (NCT01653821).

Full Text

Duke Authors

Cited Authors

  • Niewiński, P; Janczak, D; Rucinski, A; Jazwiec, P; Sobotka, PA; Engelman, ZJ; Fudim, M; Tubek, S; Jankowska, EA; Banasiak, W; Hart, ECJ; Paton, JFR; Ponikowski, P

Published Date

  • October 2013

Published In

Volume / Issue

  • 168 / 3

Start / End Page

  • 2506 - 2509

PubMed ID

  • 23541331

Pubmed Central ID

  • 23541331

Electronic International Standard Serial Number (EISSN)

  • 1874-1754

International Standard Serial Number (ISSN)

  • 0167-5273

Digital Object Identifier (DOI)

  • 10.1016/j.ijcard.2013.03.011

Language

  • eng