Hypertension

The vestigial fold in humans: Characterization of a potential novel target for selective cardiac sympathetic denervation

Heart RhythmPublished Anatomical (histological) study

Authors' conclusion

The vestigial fold predominantly contains sympathetic nerve fascicles.

Study context

Population
Human vestigial fold samples (67% men, 50.0 ± 12.7 years)87 nerve fascicles analysed
Participants
12 participants
Outcome
Characterization of neural structures within the vestigial fold: nerve fascicles ≥50 μm counted and characterized; percentage area of sympathetic, parasympathetic and sensory fibres within fascicles
Methodological detailsimmunohistochemistry, tissue clearing with whole-mount staining
  • Immunohistochemistry
  • Tissue clearing with whole-mount staining

Main finding

As reported in the abstract

Nerve fibre type, percentage area within each fascicle
Sympathetic predominance
P < 0.001
Nerve fascicles per vestigial fold
7.3 ± 4.2
Fascicle diameter
102.0 ± 51.8 μm
Minimum epicardium-to-fascicle distance
487.1 ± 440.2 μm

Further findings

Vestigial fold size

Length
12.7 ± 5.1 mm
Width
3.6 ± 1.7 mm

3-dimensional distribution (whole-mount staining of tissue-cleared sample)

Confirmed 3-dimensional distribution of predominant sympathetic nerve fascicles

Original publication

The vestigial fold in humans: Characterization of a potential novel target for selective cardiac sympathetic denervation. Heart Rhythm. Published 17 March 2025. doi:10.1016/j.hrthm.2025.03.1957

Composed by AI from the published abstract and checked against it. How Briefs are made →

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