高血压中的交感神经机制:最近的见解
Guido Grassi1, Raffaella Dell'Oro2, Fosca Quarti-Trevano2
1Department of Medicine and Surgery, Clinica Medica, University of Milano-Bicocca, Via Pergolesi 33, 20052, Monza, Milan, Italy. guido.grassi@unimib.it.
交感神经系统活动显著影响各种高血压类型,包括抵抗性和夜间血压变化. 了解这些神经因素是管理复杂高血压表型的关键.
科学领域:
- 心脏病学 心脏病学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 高血压研究 高血压研究
背景情况:
- 交感神经因子在心血管调节中起着至关重要的作用.
- 高血压包括不同的表型,具有不同的潜在机制.
- 最近的研究强调了同情活动和血压控制之间的相互作用.
研究的目的:
- 审查公布和未公布的关于高血压表型中的交感神经因子的数据.
- 研究同情性生物标志物在不同形式的高血压中的作用.
- 分析与血压测量类型和夜间模式有关的同情活动.
主要方法:
- 临床研究和元分析的系统审查.
- 在各种高血压条件下对交感生物标志物的分析.
- 检查办公室数据,参加和无人监督的血压测量.
主要成果:
- 交感生物标志物的变化与办公室血压测量相关.
- 夜间血压概况的变化和睡眠异常与同情活动有关.
- 耐药性,伪耐药性和耐火性高血压显示出显著的同情参与.
结论:
- 交感神经因子在各种高血压表型的发病过程中至关重要.
- 改变的交感血压控制是基本高血压的常见特征.
- 准交感通路可能为复杂高血压提供治疗策略.
更多相关视频
11:08Novel Approach for Simultaneous Recording of Renal Sympathetic Nerve Activity and Blood Pressure with Intravenous Infusion in Conscious, Unrestrained Mice.
Published on: February 14, 2018
07:51Mesenteric Artery Contraction and Relaxation Studies Using Automated Wire Myography
Published on: September 22, 2011
相关概念视频
Neural Regulation of Blood Pressure
Baroreceptor Reflex
Baroreceptors, located in the carotid sinuses and aortic arch, detect changes in blood pressure. When blood pressure rises, these stretch-sensitive receptors...
Disorders of the Autonomic Nervous System
Raynaud's disease, also known as Raynaud's...
Sympathetic Activation
Hypertension II: Pathophysiology
Regulation of Heart Rates
The SNS increases heart rate through the release of norepinephrine and epinephrine, which act on beta-1 adrenergic receptors in the heart. This action increases the rate of depolarization in the sinoatrial (SA) node, the heart's...
Sympathetic Signaling
Sympathetic preganglionic fibers release the neurotransmitter acetylcholine (ACh) onto the ganglionic neurons in the...
