Yoruk Ayhan, Bisognano John D, Gassler John P
University of Rochester Medical Center, Rochester, New York, USA.
Am J Hypertens. 2016 Dec 1;29(12):1319-1324. doi: 10.1093/ajh/hpw074.
Hypertension (HTN) is a worldwide epidemic. When untreated, HTN places patients at an elevated risk for several health conditions, including cardiovascular disease and end-organ damage. This effect is particularly pronounced in a subset of patients who experience treatment-resistant HTN despite the utilization of conventional medication and lifestyle interventions. For these challenging patients, ongoing research efforts continue to explore and develop novel nonpharmacologic therapies for resistant HTN. One such avenue is the regulation of the sympathetic nervous system, a large component of circulatory physiology. Innovative therapies have evolved to harness the ability to deliver electrical stimulation to baroreceptors in an effort to modulate the sympathetic system involvement in HTN. This review discusses baroreflex activation therapy and its role in the management of resistant HTN.
高血压(HTN)是一种全球性的流行病。未经治疗的高血压会使患者面临多种健康状况的风险增加,包括心血管疾病和终末器官损害。这种影响在一部分患者中尤为明显,尽管他们采用了传统药物治疗和生活方式干预,但仍患有难治性高血压。对于这些具有挑战性的患者,正在进行的研究工作继续探索和开发针对难治性高血压的新型非药物疗法。其中一条途径是调节交感神经系统,它是循环生理学的一个重要组成部分。创新疗法已经发展到利用向压力感受器传递电刺激的能力,以调节交感神经系统在高血压中的作用。本综述讨论了压力反射激活疗法及其在难治性高血压管理中的作用。