Arrhythmias & electrophysiology

Translational approach to ventricular innervation: the posterior descending ganglionated plexus

EuropacePublished Mechanistic study

Authors' conclusion

The present translational approach to ventricular innervation demonstrates first evidence of the functional relevance of the PDGP, with morphological findings indicating species-related differences.

Study context

Population
Ex vivo retrograde-perfused porcine hearts; C57BL/6 mice; explanted human heartsmurine studies n = 43
Comparison
Functional posterior descending GP (PDGP) modulation vs paced rhythm
Outcome
Role of the posterior descending GP (PDGP) for neural control of cardiac electrophysiology
Methodological detailsproof-of-principle, systematic literature review, murine morphological studies, ex vivo retrograde-perfused porcine model, explanted human hearts
  • Proof-of-principle
  • Systematic literature review
  • Murine morphological studies
  • Ex vivo retrograde-perfused porcine model
  • Explanted human hearts

Main finding

As reported in the abstract

Dispersion of conduction velocity

High-frequency stimulation vs Paced rhythm: P = 0.018 · Nicotine stimulation vs Paced rhythm: P = 0.044

Further findings

Activation recovery intervals with high-frequency stimulation, RV regions vs posterior LV — Posterior RV vs Posterior LV

P = 0.044

OutcomeP value
Activation recovery intervals with high-frequency stimulation, RV regions vs posterior LVBasal RV vs Posterior LVP = 0.039

Ventricular ganglionated plexus (GPs) in murine hearts

Ventricular GPs present in only 10% of hearts (n = 43)

Human hearts

PDGP present in epicardial adipose tissue near its eponymous coronary artery and the posteromedial left atrial GP
3D reconstruction suggested PDGP localization with inter-patient anatomical variability

Original publication

Translational approach to ventricular innervation: the posterior descending ganglionated plexus. Europace. Published 13 May 2025. doi:10.1093/europace/euaf099

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