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HERO ID
6801528
Reference Type
Journal Article
Subtype
Review
Title
The sympathetic nervous system and blood pressure in humans: implications for hypertension
Author(s)
Fisher, JP; Paton, JF
Year
2012
Is Peer Reviewed?
Yes
Journal
Journal of Human Hypertension
ISSN:
0950-9240
EISSN:
1476-5527
Volume
26
Issue
8
Page Numbers
463-475
Language
English
PMID
21734720
DOI
10.1038/jhh.2011.66
Web of Science Id
WOS:000306360500001
Abstract
A neurogenic component to primary hypertension (hypertension) is now well established. Along with raised vasomotor tone and increased cardiac output, the chronic activation of the sympathetic nervous system in hypertension has a diverse range of pathophysiological consequences independent of any increase in blood pressure. This review provides a perspective on the actions and interactions of angiotensin II, inflammation and vascular dysfunction/brain hypoperfusion in the pathogenesis and progression of neurogenic hypertension. The optimisation of current treatment strategies and the exciting recent developments in the therapeutic targeting of the sympathetic nervous system to control hypertension (for example, catheter-based renal denervation and carotid baroreceptor stimulation) will be outlined.
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