Sympathoadrenal mechanisms in the pathogenesis of sleep apnea-related hypertension

Obstructive sleep apnea-hypopnea (OSAH) is regarded as an increasingly common cause of sustained hypertension. The vast majority of mechanistic studies linking these entities have focused on the role of sympathoactivation. This review therefore addresses this purported mechanism by highlighting stud...

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Veröffentlicht in:Current hypertension reports 2009-06, Vol.11 (3), p.212-216
Hauptverfasser: Friedman, Oded, Logan, Alexander G.
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container_title Current hypertension reports
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Logan, Alexander G.
description Obstructive sleep apnea-hypopnea (OSAH) is regarded as an increasingly common cause of sustained hypertension. The vast majority of mechanistic studies linking these entities have focused on the role of sympathoactivation. This review therefore addresses this purported mechanism by highlighting studies conducted in the past 5 years that speak to OSAH-related changes in sympathoregulation, independent of obesity, as well as the intervening players and pathways that may be relevant to such changes. Finally, studies with a focus on changes in sympathoregulation induced by continuous positive airway pressure (CPAP) therapy are discussed. Taken together, these findings strengthen the claim that the sympathoadrenal pressor system is essential for the development of the hypertensive state in individuals with OSAH.
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subjects Animals
Blood Pressure - physiology
Cardiology
Disease Progression
Family Medicine
General Practice
Humans
Hypertension
Hypertension - etiology
Hypertension - metabolism
Hypertension - physiopathology
Internal Medicine
Medicine
Medicine & Public Health
Metabolic Diseases
Nephrology
Premature birth
Primary Care Medicine
Sleep apnea
Sleep Apnea Syndromes - complications
Sleep Apnea Syndromes - metabolism
Sleep Apnea Syndromes - physiopathology
Sympathetic Nervous System - physiopathology
title Sympathoadrenal mechanisms in the pathogenesis of sleep apnea-related hypertension
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