Salman Ibrahim M
Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, Australia.
Curr Hypertens Rep. 2016 Mar;18(3):18. doi: 10.1007/s11906-016-0625-x.
Short-term and long-term blood pressure (BP) regulation and its maintenance at levels adequate to perfuse tissue organs involve an integrated action of multiple neural, cardiovascular, renal, endocrine and local tissue control systems. In the recent year, there has been a growing interest in the understanding of neural pathways key to BP control. For instance, through major advances in studies using both anesthetized and conscious animals, our knowledge of the essential neural mechanisms that subserve the baroreceptor, cardiopulmonary and chemoreceptor reflexes, and those evoked by the activation of stress pathways has dramatically increased. While the importance of these neural pathways in the maintenance of cardiovascular homeostasis is well established, the recognition of the central processing nuclei that integrate various afferent inputs to produce synchronous adjustments of autonomic outflows is still progressively expanding. Based on the literature provided thus far, the present review provides an overview in relation to the important neural determinants of BP control and later offers a concise description of major neuronal pathways that control autonomic outflows to the cardiovascular system in the short and long term.
短期和长期血压(BP)调节及其维持在足以灌注组织器官的水平涉及多个神经、心血管、肾脏、内分泌和局部组织控制系统的综合作用。近年来,人们对理解血压控制的关键神经通路越来越感兴趣。例如,通过使用麻醉和清醒动物的研究取得的重大进展,我们对支持压力感受器、心肺和化学感受器反射以及由应激途径激活所引发的基本神经机制的了解大幅增加。虽然这些神经通路在维持心血管稳态中的重要性已得到充分确立,但对整合各种传入输入以产生自主神经输出同步调节的中枢处理核的认识仍在不断扩展。基于迄今为止提供的文献,本综述概述了血压控制的重要神经决定因素,随后简要描述了在短期和长期内控制自主神经向心血管系统输出的主要神经通路。