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Baroreflex Activation Therapy in Heart Failure

An implantable device therapy that electrically stimulates carotid baroreceptors in advanced heart failure.

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kardiyoloji department. Book Appointment →

What is Baroreflex Activation Therapy in Heart Failure?

Baroreflex activation therapy (BAT) is an implantable device system that electrically stimulates the carotid sinus baroreceptors in patients with advanced systolic heart failure. The goal is to reduce sympathetic nerve activity, increase parasympathetic tone and relieve the hemodynamic burden.

The system consists of a pulse generator similar to a pacemaker and a lead placed around the carotid artery. Studies such as BeAT-HF have shown that BAT can improve quality of life, functional capacity and NT-proBNP in NYHA class III patients who remain symptomatic on optimal medical therapy.

BAT is considered in addition to modern heart failure medications such as SGLT2 inhibitors and ARNI, and is used in selected centers.

Symptoms

NYHA class III dyspnea
Orthopnea
Refractory fatigue
Exercise intolerance
Palpitations
Edema
Frequent hospitalizations

Risk Factors

Low-EF heart failure (EF ≤ 35%)
Symptomatic despite optimal medical therapy
High sympathetic activity
Advanced age
Diabetes mellitus
Chronic kidney disease
Atrial fibrillation

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Dyspnea despite optimal therapy
  • NYHA class III patient
  • New hospitalization
  • Elevated BNP
  • Reduced quality of life
  • Advanced heart failure candidacy

Treatment Methods

01
Optimal medical therapy
02
Baroreflex activation therapy device
03
CRT-D in appropriate patients
04
MRA and SGLT2 inhibitors
05
Heart failure clinic follow-up
06
Exercise and rehabilitation
07
Multidisciplinary approach

Which Department to Visit?

You can visit our Kardiyoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.