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Management of hypertension in selected acute conditions associated with an increased activation of the sympathetic nervous system
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Abstract
The autonomic nervous system plays a key role in cardiovascular homeostasis by affecting the peripheral vascular resistance, cardiac output, renal function. Dysfunction in the autonomic nervous system, manifested by chronic increased sympathetic activation, plays an important role in the pathogenesis of hypertension and target organ damage. Sudden conditions of enhancement sympathetic activity, running with an immediate increase in arterial pressure, may pose a direct threat to life. The present work provides guidelines for the management of hypertension in some selected cases associated with an increased activity of the sympathetic — pheochromocytoma, sudden clonidine withdrawal, drug addiction, perioperative stress.
Abstract
The autonomic nervous system plays a key role in cardiovascular homeostasis by affecting the peripheral vascular resistance, cardiac output, renal function. Dysfunction in the autonomic nervous system, manifested by chronic increased sympathetic activation, plays an important role in the pathogenesis of hypertension and target organ damage. Sudden conditions of enhancement sympathetic activity, running with an immediate increase in arterial pressure, may pose a direct threat to life. The present work provides guidelines for the management of hypertension in some selected cases associated with an increased activity of the sympathetic — pheochromocytoma, sudden clonidine withdrawal, drug addiction, perioperative stress.
Keywords
hypertension, sympathetic activity, pheochromocytoma, clonidine withdrawal, perioperative hypertension
About this articleTitle
Management of hypertension in selected acute conditions associated with an increased activation of the sympathetic nervous system
Journal
Issue
Article type
Review paper
Pages
243-247
Published online
2015-03-25
Page views
688
Article views/downloads
3346
Bibliographic record
Nadciśnienie tętnicze 2014;18(4):243-247.
Keywords
hypertension
sympathetic activity
pheochromocytoma
clonidine withdrawal
perioperative hypertension
Authors
Marta Sołtysiak
Agnieszka Janowska
Paweł Sołtysiak
Krystyna Widecka