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Carotid baroreceptor stimulation as a therapeutic target in hypertension and other cardiovascular conditions.

TitleCarotid baroreceptor stimulation as a therapeutic target in hypertension and other cardiovascular conditions.
Publication TypeJournal Article
Year of Publication2009
AuthorsDoumas, M., Guo D., & Papademetriou V.
JournalExpert Opin Ther Targets
Volume13
Issue4
Pagination413-25
Date Published2009 Apr
ISSN1744-7631
KeywordsAnimals, Antihypertensive Agents, Baroreflex, Blood Pressure, Bradycardia, Cardiovascular Diseases, Carotid Sinus, Denervation, Dogs, Electric Stimulation Therapy, Electrodes, Implanted, Equipment Design, Homeostasis, Humans, Hypertension, Hypotension, Pressoreceptors, Pressure, Reflex, Abnormal, Solitary Nucleus, Vagus Nerve
Abstract

BACKGROUND: The role of the carotid baroreflex in blood pressure regulation has been known for a long time but its effects were thought to be short lived. Recent data indicate that stimulation of carotid baroreceptors may lower blood pressure not only for short periods of time, but also in the long run.OBJECTIVE/METHODS: Recent advances in technology permitted the development of a new device (Rheos) that addresses problems with older devices. Several questions remain to be addressed before Rheos can be used widely, and several potential clinical applications remain to be clarified. This review examines these issues and comprehensively describes this therapeutic approach.RESULTS/CONCLUSIONS: The carotid baroreceptor reflex is probably not completely in control of blood pressure. Baroreflexes are one of many control systems acting in concert.

DOI10.1517/14728220902780185
Alternate JournalExpert Opin. Ther. Targets
PubMed ID19335064

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