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Sympathetic Nervous System Overactivity and Its Role in the Development of Cardiovascular Disease
Abstract
This review examines how the sympathetic nervous system plays a major role in the regulation of cardiovascular function over multiple time scales. This is achieved through differential regulation of sympathetic outflow to a variety of organs. This differential control is a product of the topographical organization of the central nervous system and a myriad of afferent inputs. Together this organization produces sympathetic responses tailored to match stimuli. The long-term control of sympathetic nerve activity (SNA) is an area of considerable interest and involves a variety of mediators acting in a quite distinct fashion. These mediators include arterial baroreflexes, angiotensin II, blood volume and osmolarity, and a host of humoral factors. A key feature of many cardiovascular diseases is increased SNA. However, rather than there being a generalized increase in SNA, it is organ specific, in particular to the heart and kidneys. These increases in regional SNA are associated with increased mortality. Understanding the regulation of organ-specific SNA is likely to offer new targets for drug therapy. There is a need for the research community to develop better animal models and technologies that reflect the disease progression seen in humans. A particular focus is required on models in which SNA is chronically elevated.
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Metadata
- Authors
- Malpas, S. C.
- Venue
- Physiological Reviews
- Publisher
- American Physiological Society
- Published
- 2010-04
- Volume
- 90
- Issue
- 2
- Pages
- 513-557
- ISSN
- 0031-9333 (ISSN-L)
- 1522-1210
- OpenAlex
- W2151429049
- Cited by
- 699
- References
- 460
- FWCI
- 6.28
- Type
- journal article
- Language
- en
- Open access
- closed
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