No abstract

The autonomic nervous system regulates all aspects of normal cardiac function, and is recognized to play a critical role in the pathophysiology of many cardiovascular diseases. As such, the value of neuroscience-based cardiovascular therapeutics is increasingly evident. This White Paper reviews the current state of understanding of human cardiac neuroanatomy, neurophysiology, pathophysiology in specific disease conditions, autonomic testing, risk stratification, and neuromodulatory strategies to mitigate the progression of cardiovascular diseases.

A study on high performance poly(ether‐ether‐ketone) (PEEK) composites prepared by incorporating aluminum oxide (Al2O3), 0 to 50 wt % by hot compaction at 15 MPa and 350°C was described. Density, thermogravimetric analysis/differential scanning calorimetry, and scanning electron microscopy (SEM) were employed to evaluate their density, thermal stability, crystallinity, and morphology. Experimental density was found higher than theoretical density, which indicates that composite samples are sound. It was found that the addition of micron sized (< 15 μm) Al2O3 increased the peak crystallization temperature by 12°C when compared with neat PEEK with insignificant increase in melting temperature. Half‐time of crystallization is reduced from 2.05 min for the neat PEEK to 1.08 min for PEEK incorporated with 30 wt % Al2O3 because of the strong nucleation effect of Al2O3. The thermal stability of composites in air atmosphere was increased by 26°C. However, thermal stability in nitrogen atmosphere decreases at lower concentration of Al2O3 but increases above 20 wt % of Al2O3. Uniform dispersion of Al2O3 particles was observed in PEEK polymer matrix by SEM. © 2006 Wiley Periodicals, Inc. J Appl Polym Sci 100: 4623–4631, 2006

Background-Heart failure (HF) is accompanied by autonomic, emotional, and cognitive deficits, indicating brain alterations. Reduced gray matter volume and isolated white matter infarcts occur in HF, but the extent of damage is unclear. Using magnetic resonance T2 relaxometry, we evaluated the extent of injury across the entire brain in HF.

Although gray matter injury appears in heart failure (HF) patients, the presence, extent, and nature of axonal injury impacting on cardiovascular regulation and other functions is unclear. We performed diffusion tensor imaging (3.0-Tesla magnetic resonance imaging scanner) in 16 HF and 26 control subjects, and assessed whole-brain water diffusion parallel (axial diffusivity; axonal status) and perpendicular (radial diffusivity; myelin changes) to fibers. Regions with increased axial diffusivity only, indicating impaired axonal integrity, emerged in cardiovascular, hedonic, and pain regulatory areas, including basal forebrain, hypothalamic and limbic projections through the medial forebrain bundle and raphé magnus projections to the medulla and cerebellum. Other fiber paths between sites implicated in cognition, including limbic, basal-ganglia, thalamic, internal capsule, and corpus callosum were also altered. Sites with increased radial diffusivity only, indicating myelin breakdown, appeared in the corpus callosum, cingulate, and temporal, parietal, occipital, and frontal regions. Both higher axial and radial diffusivity, indicating loss of tissue integrity, appeared in parietal and occipital lobes, limbic regions, insula, internal capsule, cerebellum, and dorsolateral medulla. Axons and myelin are altered in HF, likely resulting from ischemic/hypoxic processes acting chronically and sub-acutely, respectively. The alterations would contribute to the multiple autonomic and neuropsychological symptoms found in HF.