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The intrinsic cardiac nervous system (ICNS)
plays a crucial role in the regulation of heart
rate, atrial and ventricular refractoriness,
contractility and coronary blood flow. Evidence
suggests that the ICNS modulates intrathoracic
and central cardiovascular cardiac reflexes and
coordinates parasympathetic and sympathetic
efferent postganglionic neuronal outputs to the
heart. Morphologically, the ICNS correspondsto
the neural ganglionated plexus that may be
subdivided according to the layers of heart wall
into epicardial, myocardial and endocardial
Background of the project
subplexuses. A number of neuroanatomically
investigated mammalian models indicate that
the intrinsic cardiac neural plexus is a complex
of distinct subplexuses, and that the cardiac
ganglia are mainly distributed at certain atrial
regions around the sinoatrial node, the roots of
the venae cavae and pulmonary veins, and in
the proximity of the atrioventricular node. Yet,
to our knowledge, the topography and
architecture of the human cardiac neuralplexus
have been in the scope of only fewpublished
article to date.
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Pre-medical students,
Students accepted to the project
Medical students
- Rysevaite K; Saburkina I; Pauziene N;
Vaitkevicius R; Noujaim SF; Jalife J; et al.
Immunohistochemical characterization of the
intrinsic cardiac neural plexus in whole-mount
mouse heart preparations. Hear Rhythm. 2011
May;8(5):731–8.
Articles
- Pauza DH; Rysevaite-Kyguoliene K; Vismantaite
J; Brack KE; Inokaitis H; Pauza AG; et al. A
combined acetylcholinesterase and
immunohistochemical method for precise
anatomical analysis of intrinsic cardiac neural
structures. Ann Anat. 2014 Dec 1;196(6):430–40.
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