Magnetic Field-Based Intervention in Cardiovascular Diseases: Biological Basis, Therapeutic Strategies, and Translational Challenges
DOI:
https://doi.org/10.70088/kx62zd70Keywords:
magnetic field, cardiovascular disease, autonomic neuromodulation, cardiac electrophysiology, cardiac repairAbstract
Cardiovascular diseases remain the leading cause of death worldwide, and their burden continues to rise. As a noninvasive physical intervention, magnetic fields offer deep tissue penetration, remote programmability, and favorable spatiotemporal controllability, making them uniquely valuable for modulating cardiovascular function. This review systematically summarizes the biological basis of magnetic field actions on the cardiovascular system, including multi-scale effects on cardiac electrophysiology and ion channels, vascular endothelial function and microcirculatory perfusion, and cardiac autonomic regulation. On this basis, we synthesize therapeutic advances in three areas: electrophysiological intervention in arrhythmias, cardiac autonomic neuromodulation, and cardiac repair and regeneration. Preclinical evidence indicates that magnetic fields can mediate nonpharmacological intervention in arrhythmias, myocardial infarction, and heart failure, although clinical validation to date is limited to a single small randomized trial. Finally, we analyze translational bottlenecks (standardization of stimulation parameters, long-term in vivo safety assessment, and intelligent closed-loop control) and outline future directions integrating magnetic fields with regenerative medicine and artificial intelligence, aiming to provide new strategies for precision cardiovascular care.References
O. A. Hafez and R. B. Chang, "Regulation of cardiac function by the autonomic nervous system," Physiology, vol. 40, no. 3, pp. 258–270, 2025.
K. A. Ziegler, S. Engelhardt, D. Carnevale, et al., "Neural mechanisms in cardiovascular health and disease," Circulation Research, vol. 136, no. 11, pp. 1233–1261, 2025.
J. F. R. Paton, T. Żera, R. Vadigepalli, et al., "Multimodal, device-based therapeutic targeting of the cardiovascular autonomic nervous system," Nature Reviews Cardiology, vol. 23, no. 4, pp. 255–278, 2026.
X. Lu, G. Li, W. Jiao, et al., "Magnetic nanomaterials-mediated neuromodulation," WIREs Nanomedicine and Nanobiotechnology, vol. 15, no. 4, p. e1890, 2023.
D. Soltani, S. Samimi, A. Vasheghani-Farahani, et al., "Electromagnetic field therapy in cardiovascular diseases: a review of patents, clinically effective devices, and mechanism of therapeutic effects," Trends in Cardiovascular Medicine, vol. 33, no. 2, pp. 72–78, 2023.
J. Wei, J. Sun, H. Xu, et al., "Effects of extremely low frequency electromagnetic fields on intracellular calcium transients in cardiomyocytes," Electromagnetic Biology and Medicine, vol. 34, no. 1, pp. 77–84, 2015.
Z. Song, L. Xue, Q. Ouyang, et al., "Impact of a terahertz electromagnetic field on the ion permeation of potassium and sodium channels," Communications Chemistry, vol. 8, no. 1, p. 101, 2025.
X. Shen, Q. Lu, T. Peng, et al., "Bionic potassium ion channel in live cells repairs cardiomyocyte function," Journal of the American Chemical Society, vol. 146, no. 29, pp. 19896–19908, 2024.
T. Nishigaki and T. C. Kofane, "Controlling discharge mode in electrical activities of myocardial cell using mixed frequencies magnetic radiation," Heliyon, vol. 8, no. 3, p. e09084, 2022.
J. L. Beckham, Y. J. Kim, E. Vargas Paniagua, et al., "Magnetite nanodiscs activate mechanotransductive calcium signaling in diverse cell types," Journal of the American Chemical Society, vol. 147, no. 16, pp. 13303–13314, 2025.
X. Cheng, S. Liu, Y. Zhang, et al., "Remote activation of spinal TRPV1 by magnetic nanocubes confers cardioprotection against myocardial ischemia-reperfusion injury," Advanced Science, vol. 13, no. 11, p. e20852, 2026.
C. L. Beck and A. Kunze, "Parallelized mechanical stimulation of neuronal calcium through cell-internal nanomagnetic forces provokes lasting shifts in the network activity state," Small, vol. 21, no. 1, p. e2406678, 2025.
G. Lizot, C. Pasqualin, A. Tissot, et al., "Molecular and functional characterization of the mouse intrinsic cardiac nervous system," Heart Rhythm, vol. 19, no. 8, pp. 1352–1362, 2022.
S. Ma, Z. Zhang, F. Yi, et al., "Protective effects of low-frequency magnetic fields on cardiomyocytes from ischemia reperfusion via ROS and NO/ONOO⁻⁻," Oxidative Medicine and Cellular Longevity, vol. 2013, p. 529173, 2013.
Y. I. Gurfinkel, O. Y. At'kov, A. L. Vasin, et al., "Effect of zero magnetic field on cardiovascular system and microcirculation," Life Sciences in Space Research, vol. 8, pp. 1–7, 2016.
J. Gmitrov, "Static magnetic field versus systemic calcium channel blockade effect on microcirculation: possible mechanisms and clinical implementation," Bioelectromagnetics, vol. 41, no. 6, pp. 447–457, 2020.
M. Kanber, O. Umerah, S. Brindley, et al., "Magneto-mechanical actuation induces endothelial permeability," ACS Biomaterials Science & Engineering, vol. 9, no. 12, pp. 6902–6914, 2023.
M. Wang, M. Zhu, Z. Zhao, et al., "A novel and versatile microfluidic device for cell assays under radio frequency exposure," Biosensors, vol. 13, no. 8, p. 763, 2023.
B. S. Tegegne, M. A. Said, A. Ani, et al., "Phenotypic but not genetically predicted heart rate variability associated with all-cause mortality," Communications Biology, vol. 6, no. 1, p. 1013, 2023.
Y. Lu, K. Chen, W. Zhao, et al., "Magnetic vagus nerve stimulation alleviates myocardial ischemia-reperfusion injury by the inhibition of pyroptosis through the M2AChR/OGDHL/ROS axis in rats," Journal of Nanobiotechnology, vol. 21, no. 1, p. 421, 2023.
C. Galanis, N. Hananeia, M. Lenz, et al., "Repetitive magnetic stimulation induces plasticity of excitatory synapses through cooperative pre- and postsynaptic activity," Brain Stimulation, vol. 18, no. 5, pp. 1641–1650, 2025.
H. Keriven, A. S. Sierra, Á. González-de-la-Flor, et al., "Influence of combined transcranial and peripheral electromagnetic stimulation on the autonomous nerve system on delayed onset muscle soreness in young athletes: a randomized clinical trial," Journal of Translational Medicine, vol. 23, no. 1, p. 306, 2025.
M. K. Turagam, P. Neuzil, B. Schmidt, et al., "Safety and effectiveness of pulsed field ablation to treat atrial fibrillation: one-year outcomes from the MANIFEST-PF registry," Circulation, vol. 148, no. 1, pp. 35–46, 2023.
A. M. Amin, A. Nazir, M. T. Abuelazm, et al., "Efficacy and safety of pulsed-field versus conventional thermal ablation for atrial fibrillation: a systematic review and meta-analysis," Journal of Arrhythmia, vol. 40, no. 5, pp. 1059–1074, 2024.
T. M. Markman, N. V. K. Pothineni, T. Zghaib, et al., "Effect of transcutaneous magnetic stimulation in patients with ventricular tachycardia storm: a randomized clinical trial," JAMA Cardiology, vol. 7, no. 4, pp. 445–449, 2022.
T. M. Markman, D. Gugger, J. Arkles, et al., "Neuromodulation for the treatment of refractory ventricular arrhythmias," JACC: Clinical Electrophysiology, vol. 9, no. 2, pp. 161–169, 2022.
N. A. Chatterjee and J. P. Singh, "Autonomic modulation and cardiac arrhythmias: old insights and novel strategies," Europace, vol. 23, no. 11, pp. 1708–1721, 2021.
J. B. Tonko and P. D. Lambiase, "The proarrhythmogenic role of autonomics and emerging neuromodulation approaches to prevent sudden death in cardiac ion channelopathies," Cardiovascular Research, vol. 120, no. 2, pp. 114–131, 2024.
L. Yu, J. W. Dyer, B. J. Scherlag, et al., "The use of low-level electromagnetic fields to suppress atrial fibrillation," Heart Rhythm, vol. 12, no. 4, pp. 809–817, 2015.
W. C. Tsai, T.-C. Hung, T. Kusayama, et al., "Autonomic modulation of atrial fibrillation," JACC: Basic to Translational Science, vol. 8, no. 10, pp. 1398–1410, 2023.
P. Hanna, E. Buch, S. Stavrakis, et al., "Neuroscientific therapies for atrial fibrillation," Cardiovascular Research, vol. 117, no. 7, pp. 1732–1745, 2021.
C. H. Mac, C. H. Kuo, I. W. Wang, et al., "Oral magnetoelectric neuroimmunomodulation via the gut-brain-spleen-heart axis for noninvasive atrial fibrillation therapy," Advanced Materials, vol. 38, no. 15, p. e16956, 2026.
M. Y. Kim, C. Coyle, D. R. Tomlinson, et al., "Ectopy-triggering ganglionated plexuses ablation to prevent atrial fibrillation: GANGLIA-AF study," Heart Rhythm, vol. 19, no. 4, pp. 516–524, 2022.
J. N. Hertel, S. D. Nissen, L. A. Lindberg, et al., "Targeted epicardial pulsed field ablation of atrial ganglionated plexi: electrophysiological and histologic analysis in pigs," Heart Rhythm, vol. 22, no. 12, pp. 3289–3299, 2025.
Q. Yu, Y. Li, W. Yan, et al., "Left superior cervical ganglia lymph node mimicry and its role in rat ventricular arrhythmias following myocardial infarction," Acta Physiologica, vol. 241, no. 2, p. e14279, 2025.
S. Bao, Y. Lu, J. Zhang, et al., "Rapid improvement of heart repair in rats after myocardial infarction by precise magnetic stimulation on the vagus nerve with an injectable magnetic hydrogel," Nanoscale, vol. 15, no. 7, pp. 3532–3541, 2023.
L. Zhou, Y. Zhang, G. Cao, et al., "Wireless self-powered optogenetic system for long-term cardiac neuromodulation to improve post-MI cardiac remodeling and malignant arrhythmia," Advanced Science, vol. 10, no. 9, p. e2205551, 2023.
M. S. Arshad, V. Kittipibul, and M. Fudim, "Sympathetic nervous system in heart failure: targets for treatments," Current Hypertension Reports, vol. 27, no. 1, p. 20, 2025.
J. Wang, J. Chen, L. Shu, et al., "Carotid baroreceptor stimulation improves pulmonary arterial remodeling and right ventricular dysfunction in pulmonary arterial hypertension," JACC: Basic to Translational Science, vol. 9, no. 4, pp. 475–492, 2024.
A. C. Manjua, J. M. S. Cabral, C. A. M. Portugal, et al., "Magnetic stimulation of the angiogenic potential of mesenchymal stromal cells in vascular tissue engineering," Science and Technology of Advanced Materials, vol. 22, no. 1, pp. 461–480, 2021.
W. Wang, Z. Han, S. Aafreen, et al., "Magnetically labeled iPSC-derived extracellular vesicles enable MRI/MPI-guided regenerative therapy for myocardial infarction," Journal of Extracellular Vesicles, vol. 14, no. 10, p. e70178, 2025.
E. H. Fragal, V. H. Fragal, E. P. Silva, et al., "Magnetic-responsive polysaccharide hydrogels as smart biomaterials: synthesis, properties, and biomedical applications," Carbohydrate Polymers, vol. 292, p. 119665, 2022.
Z. Wang, C. Qin, Z. Liao, et al., "Inorganic biomaterials inducing scaffolds pre-neuralization for infarcted myocardium repair," Advanced Materials, vol. 37, no. 32, p. e2419765, 2025.
C. J. Koppel, C. M. S. De Henau, D. Vreeken, et al., "The role of the axonal guidance cue semaphorin 3A in innervation of the postnatal heart in health and disease," Canadian Journal of Cardiology, vol. 41, no. 5, pp. 899–910, 2025.
T. H. Shin, J. M. Noh, S. C. Choi, et al., "Three-dimensional magnetic torque stimulation enhances functional structural maturation in developing human cardiac organoids," Acta Biomaterialia, vol. 208, pp. 350–361, 2025.
P. Chakraborty, S. S. Po, A. Yabluchanskiy, et al., "Protein kinase A: a potential marker of sympathovagal imbalance in heart failure," Life Sciences, vol. 331, p. 122069, 2023.
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