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动脉化学感受器在高血压发病机制中起作用吗?

Do arterial chemoreceptors play a role in the pathogenesis of hypertension?

作者信息

Przybylski J

出版信息

Med Hypotheses. 1981 Feb;7(2):127-31. doi: 10.1016/0306-9877(81)90109-2.

Abstract

Although the arterial chemoreflex exerts a powerful influence upon the cardiovascular system, this reflex has until now been a disregarded factor in hypertension research. By comparing the physiological effects of chemoreceptor excitation to disarrangements present during the early labile phase of hypertension in spontaneously hypertensive rats, we found remarkable similarities. A search through the literature as well as our experimental data fully confirm this association. Many factors, among them decreased blood flow through the glomic tissue, lead to chemoreceptor stimulation. The origins of the chemoreceptor arteries are located in areas very susceptible to atherosclerotic changes which can lead to ischemia of chemoreceptor tissue. We are led to hypothesize that arterial chemoreflex is a significant factor in the etiology of essential hypertension.

摘要

尽管动脉化学反射对心血管系统有强大影响,但到目前为止,该反射在高血压研究中一直是一个被忽视的因素。通过比较化学感受器兴奋的生理效应与自发性高血压大鼠高血压早期不稳定阶段出现的紊乱情况,我们发现了显著的相似之处。对文献的检索以及我们的实验数据充分证实了这种关联。许多因素,包括通过球旁组织的血流量减少,都会导致化学感受器受到刺激。化学感受器动脉的起源位于极易发生动脉粥样硬化变化的区域,这可能导致化学感受器组织缺血。我们由此推测,动脉化学反射是原发性高血压病因中的一个重要因素。

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