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Mechanisms of blood pressure reduction by prolonged activation of the baroreflex.

作者信息

Iliescu Radu, Lohmeier Thomas E

机构信息

Department of Physiology and Biophysics at the University of Mississippi Medical Center, Jackson, MS 39211, USA.

出版信息

Annu Int Conf IEEE Eng Med Biol Soc. 2009;2009:2040-2. doi: 10.1109/IEMBS.2009.5334439.

DOI:10.1109/IEMBS.2009.5334439
PMID:19964773
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3819136/
Abstract

Recent technological advances have made the activation of the afferent limb of the baroreflex a viable therapeutic approach for lowering blood pressure. Experimental studies demonstrate sustained reductions in blood pressure in response to electrical baroreflex activation and initial results from clinical trials using device-based therapy for drug-resistant hypertension are promising. Although theoretically obvious at first glance, the mechanisms involved in the blood pressure lowering effect of baroreflex activation elude precise quantification, and experiments designed to investigate them invariably challenge preconceived notions and even dogmas. This paper is a brief overview of our current understanding of these mechanisms.

摘要

相似文献

1
Mechanisms of blood pressure reduction by prolonged activation of the baroreflex.
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2
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本文引用的文献

1
Prolonged activation of the baroreflex decreases arterial pressure even during chronic adrenergic blockade.即使在慢性肾上腺素能阻滞期间,压力反射的长期激活也会降低动脉血压。
Hypertension. 2009 May;53(5):833-8. doi: 10.1161/HYPERTENSIONAHA.109.128884. Epub 2009 Mar 9.
2
Resistant hypertension: diagnosis, evaluation, and treatment. A scientific statement from the American Heart Association Professional Education Committee of the Council for High Blood Pressure Research.难治性高血压:诊断、评估与治疗。美国心脏协会高血压研究理事会专业教育委员会的科学声明。
Hypertension. 2008 Jun;51(6):1403-19. doi: 10.1161/HYPERTENSIONAHA.108.189141. Epub 2008 Apr 7.
3
Prolonged activation of the baroreflex abolishes obesity-induced hypertension.压力反射的长期激活可消除肥胖诱导的高血压。
Hypertension. 2007 Jun;49(6):1307-14. doi: 10.1161/HYPERTENSIONAHA.107.087874. Epub 2007 Apr 16.
4
An implantable carotid sinus baroreflex activating system: surgical technique and short-term outcome from a multi-center feasibility trial for the treatment of resistant hypertension.一种可植入式颈动脉窦压力反射激活系统:多中心可行性试验治疗顽固性高血压的手术技术及短期结果
Eur J Vasc Endovasc Surg. 2007 Apr;33(4):414-21. doi: 10.1016/j.ejvs.2006.11.025. Epub 2007 Jan 16.
5
Renal denervation does not abolish sustained baroreflex-mediated reductions in arterial pressure.肾去神经支配并不能消除压力感受器介导的动脉压持续降低。
Hypertension. 2007 Feb;49(2):373-9. doi: 10.1161/01.HYP.0000253507.56499.bb. Epub 2006 Dec 11.
6
Baroreflex activation for the treatment of hypertension: principles and practice.压力反射激活疗法治疗高血压:原理与实践
Expert Rev Med Devices. 2006 Sep;3(5):595-601. doi: 10.1586/17434440.3.5.595.
7
Influence of prolonged baroreflex activation on arterial pressure in angiotensin hypertension.长期压力反射激活对血管紧张素性高血压动脉血压的影响。
Hypertension. 2005 Nov;46(5):1194-200. doi: 10.1161/01.HYP.0000187011.44201.2e. Epub 2005 Oct 10.
8
Prolonged activation of the baroreflex: a viable approach for the treatment of hypertension?压力反射的长期激活:一种可行的高血压治疗方法?
Curr Hypertens Rep. 2005 Jun;7(3):193-8. doi: 10.1007/s11906-005-0009-0.
9
Prolonged activation of the baroreflex produces sustained hypotension.压力反射的长期激活会导致持续性低血压。
Hypertension. 2004 Feb;43(2):306-11. doi: 10.1161/01.HYP.0000111837.73693.9b. Epub 2004 Jan 5.
10
Renal interstitial pressure and sodium excretion during renal vein constriction.肾静脉狭窄时的肾间质压力与钠排泄
Am J Physiol. 1980 Apr;238(4):F279-82. doi: 10.1152/ajprenal.1980.238.4.F279.