Evidence map›Paper›PMID 41021733›Full record

ReviewAmerican journal of physiology. Cell physiology2025

Autonomic dysregulation and atrial arrhythmias.

Aleksei Mikhailov, Rishi Arora, Anna Pfenniger

Abstract readReview
In one paragraph

Review in American journal of physiology. Cell physiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Aleksei MikhailovBiological Sciences Division, Department of Medicine, University of Chicago, Chicago, Illinois, United States.
Rishi AroraBiological Sciences Division, Department of Medicine, University of Chicago, Chicago, Illinois, United States.
Anna PfennigerFeinberg Cardiovascular and Renal Research Institute, Northwestern University Feinberg School of Medicine, Chicago, Illinois, United States.ORCID 0000-0001-7812-0860

Funding

New and Disruptive Therapeutic Approaches to Target Fundamental Molecular Mechanisms Underlying Atrial FibrillationR35HL161249 · NHLBI · UNIVERSITY OF CHICAGO · PI Rishi Arora · 2022 to 2026
$5.1M
Role of Endothelin-1 signaling in the development and progression of atrial fibrillationK08HL169904 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Anna Pfenniger · 2023 to 2026
$652k
American Heart Association-American Stroke Association 941300HHS | NIH | National Heart, Lung, and Blood Institute (NHLBI) 1R35HL161249-01HHS | NIH | National Heart, Lung, and Blood Institute (NHLBI) K08HL169904HHS | NIH | National Heart, Lung, and Blood Institute (NHLBI) RO1HL168117-01NHLBI NIH HHS K08 HL169904NHLBI NIH HHS R35 HL161249
6 · The paper itself

Abstract

The autonomic nervous system (ANS) and its dysregulation are recognized as important mechanisms underlying atrial arrhythmias, such as atrial fibrillation (AF). In this review, we describe the anatomy of the cardiac nervous system, sympathetic and parasympathetic effects on atrial electrophysiology, and how dysregulation of those may predispose to AF initiation and promote its maintenance. We then discuss how the ANS itself undergoes functional and structural remodeling in the setting of atrial arrhythmias, and what are the current neuromodulation approaches for AF prevention and treatment. These strategies include destruction of cardiac ANS structures or modification of autonomic signaling using nerve stimulation, pharmacological or gene therapy. Autonomic mechanisms of AF have been a focus of basic and translational research for many years, and now with the development of new diagnostic tools and therapeutic methods, ANS-targeted approaches have a potential to become an important part of AF treatment.

Indexed as

Atrial FibrillationAutonomic Nervous SystemHeart AtriaAnimalsHumansatrial arrhythmiasautonomic nervous systemelectrophysiology

Identifiers

PMID41021733
PMCPMC12559890

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.