From the School of Medicine, New York Medical College/Westchester Medical Center, Valhalla, NY.
Department of Medicine, Tufts University School of Medicine/Steward Carney Hospital, Boston, MA.
Cardiol Rev. 2024;32(2):170-173. doi: 10.1097/CRD.0000000000000505. Epub 2022 Dec 27.
Heart failure (HF) is a disease syndrome whose management is increasingly challenging given the aging population and efficacious management of acute cardiac events. The current treatment options within our armamentarium incompletely address the unmet needs of HF. Splanchnic nerve block (SNB) is a novel technique that targets the greater splanchnic nerve, a potential therapeutic target in HF. However, the technique confers potential adverse side effects and complications that warrant further investigations. In this review paper, we aim to discuss the inextricable role of splanchnic nerve in HF by highlighting their physiological interplay, clinical studies that have exhibited favorable hemodynamic parameters in the context of acute and chronic HF, and common side effects and possible complications from SNB.
心力衰竭(HF)是一种疾病综合征,随着人口老龄化和急性心脏事件的有效治疗,其管理变得越来越具有挑战性。我们现有的治疗方案不能完全满足 HF 的未满足需求。内脏神经阻滞(SNB)是一种针对大内脏神经的新技术,是 HF 的潜在治疗靶点。然而,该技术存在潜在的不良反应和并发症,需要进一步研究。在这篇综述中,我们旨在通过强调内脏神经在 HF 中的生理相互作用、在急性和慢性 HF 背景下显示有利的血流动力学参数的临床研究以及 SNB 的常见副作用和可能的并发症,讨论内脏神经在 HF 中的不可或缺作用。