Author/Authors :
Kocaman, Sinan Altan Gazi Üniversitesi - Faculty of Medicine - Department of Cardiology, Turkey , Taçoy, Gülten Gazi Üniversitesi - Faculty of Medicine - Department of Cardiology, Turkey , Özdemir, Murat Gazi Üniversitesi - Faculty of Medicine - Department of Cardiology, Turkey , Kadri, Sadık Gazi Üniversitesi - Faculty of Medicine - Department of Cardiology, Turkey , Açýkgöz, Sadık Kadri Gazi Üniversitesi - Faculty of Medicine - Department of Cardiology, Turkey , Çengel, Atiye Gazi Üniversitesi - Medical School - Department of Cardiology, Turkey
Abstract :
We thank the authors for their constructive comments on our article (1) in their letter entitled as ‘Autonomic Nervous System in Heart Failure: An Endless Area of Research’. They criticized that the study is focused on the clinical status of patients with advanced left ventricular systolic dysfunction and autonomic nervous system (ANS) and its functionality assessed by heart rate variability (HRV) which has its own particular limitations. On the other hand, cardiac metaiodobenzylguanidine 123iodine labeled with (123I-MIBG) scintigraphy is accepted as a gold standard method to identify sympathetic activation and they said that the results of current study should also be confirmed by a more objective test such as 123I-MIBG scintigraphy.