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Commentary The present review paper addresses a series of new findings
and techniques in connection with the role of the
autonomic nervous system in hypertensive disease.
The authors pay particular attention to the sympathetic
nervous system (SNS), the renin-angiotensin-aldosterone
system (RAAS), and the interactions between these two
major pathophysiological entities.We mention here a few
relevant examples.
1. An elegant technique is described which has been used
to demonstrate in chicken eggs the influence of age on
hemodynamic parameters in ovo.
2. A noradrenaline transporter system has been identified
biochemically and functionally.This system plays a role in the release of noradrenaline from the sympathetic nerve
endings.
3.The genetic background of the baroreceptor system has
been identified.
4. Spontaneous oscillation waves in SNS activity and blood
pressure (so-called Mayer waves, with a low frequency)
have been studied in detail.The involvement of various systems
and parameters, such as EDRF/NO, the RAAS, SNS
activity, and heart rate are discussed.
5. A brief survey was done of the relationship between SNS
and hypertensive disease, including the issue of
dippers/nondippers, which is believed to involve changes in
SNS activity.
6. Finally, advice was given with respect to drug treatment,
ie, that it would be preferable to subject SNS hyperactivity
to subtle modification rather than to bluntly block it.
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