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Structural skin capillary rarefaction in essential hypertension.

T F Antonios1, D R Singer, N D Markandu

  • 1Blood Pressure and Dermatology Units, Department of Medicine, and the Clinical Pharmacology Unit, St George's Hospital Medical School, Cranmer Terrace, London SW17 ORE, UK. t.antonios@sghms.ac.uk

Hypertension (Dallas, Tex. : 1979)
|April 16, 1999
PubMed
Summary
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Essential hypertension patients show reduced capillary density in finger skin. This reduction is primarily due to structural capillary loss, not just reduced blood flow, suggesting anatomical changes in hypertension.

Area of Science:

  • Cardiovascular research
  • Microcirculation physiology

Background:

  • Essential hypertension is linked to reduced capillary density (rarefaction) in tissues, potentially increasing peripheral resistance.
  • The underlying mechanisms of this capillary rarefaction in hypertension remain unclear.

Purpose of the Study:

  • To differentiate between structural and functional capillary rarefaction in the finger skin of patients with essential hypertension.

Main Methods:

  • Intravital video microscopy was used to examine finger skin microcirculation in 17 hypertensive patients and 17 controls.
  • Capillary density was measured before and after venous congestion to assess perfused versus total capillaries.

Main Results:

  • Hypertensive subjects had significantly lower baseline capillary density compared to normotensive controls.

Related Experiment Videos

  • While venous congestion increased capillary density in both groups, maximal density remained lower in hypertensive individuals.
  • Findings suggest structural capillary absence, not functional nonperfusion, is the main cause of reduced density.
  • Conclusions:

    • The study indicates that structural capillary loss is a significant factor in reduced skin capillary density in essential hypertension.
    • This structural rarefaction may contribute to increased peripheral resistance in hypertensive individuals.