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The pathophysiological basis of renal nerve ablation for the treatment of hypertension.

ΤίτλοςThe pathophysiological basis of renal nerve ablation for the treatment of hypertension.
Publication TypeJournal Article
Year of Publication2014
AuthorsZiakas, A., Gossios T., Doumas M., Karali K., Megarisiotou A., & Stiliadis I.
JournalCurr Vasc Pharmacol
Volume12
Issue1
Pagination23-9
Date Published2014 Jan
ISSN1875-6212
Λέξεις κλειδιάAfferent Pathways, Animals, Blood Pressure, Catheter Ablation, Efferent Pathways, Hemodynamics, Humans, Hypertension, Kidney, Sympathectomy, Sympathetic Nervous System
Abstract

Renal sympathetic innervation plays an important role in blood pressure regulation. Gradual activation of renal sympathetic efferent nerves enhances renin release, promotes sodium and water re-absorption, and reduces renal blood flow and glomerular filtration rate. On the other hand, activation of renal afferent sympathetic nerves induced by renal injury results in central sympathetic activation. This reciprocal relationship between the kidneys and the brain is involved in the pathogenesis of hypertension and other disease conditions characterized by sympathetic overactivity. Renal sympathetic nerve ablation has been recently introduced for the treatment of resistant hypertension. This review aims to provide the pathophysiological basis of renal nerve ablation for the attenuation of sympathetic overactivity.

Alternate JournalCurr Vasc Pharmacol
PubMed ID23905601

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