UCL Institute of Cardiovascular Science & Barts Heart Centre, Rayne Institute, 5 University Street, London WC1E 6JF, UK.
UCL Institute of Cognitive Neuroscience.
QJM. 2023 Dec 27;116(12):977-982. doi: 10.1093/qjmed/hcad144.
This review highlights the links between psychological stress and the neurocircuitry of cardiac-brain interactions leading to arrhythmias. The role of efferent and afferent connections in the heart-brain axis is considered, with the mechanisms by which emotional responses promote arrhythmias illustrated by inherited cardiac conditions. Novel therapeutic targets for intervention in the autonomic nervous system are considered.
这篇综述强调了心理压力与导致心律失常的心脑相互作用的神经回路之间的联系。考虑了心脏-大脑轴中的传出和传入连接的作用，并通过遗传性心脏疾病说明了情绪反应促进心律失常的机制。还考虑了干预自主神经系统的新治疗靶点。
