Age-related changes in muscle sympathetic nerve activity in essential hypertension
Abstract
To investigate the pathophysiological role of the sympathetic nervous system in essential hypertension, this study recorded the muscle sympathetic nerve activity (MSNA) of the tibial nerve and examined the age-related changes in patients with essential hypertension and in normotensive persons. There were 43 normotensive subjects (16-69 years old) and 63 patients with essential hypertension (18-67 years old) in the study. The MSNA at rest, recorded by microneurography, was evaluated by burst rate (bursts/min), burst incidence (bursts/100 heart beats), and spike frequency (spikes/min). The MSNA recording showed a high reproducibility with a correlation coefficient of 0.86 (p less than 0.01) in repeated studies. The MSNA was significantly greater in the hypertensive patients than in the normotensive subjects, irrespective of activity units (p less than 0.01), and this finding was consistent in the young (30 years old or less), middle-aged (31-50 years old), and old groups (51 years old or more). Furthermore, MSNA showed a significant positive correlation with age both in the normotensive subjects (r = 0.43, p less than 0.01 for burst rate; r = 0.49, p less than 0.01 for burst incidence; and r = 0.50, p less than 0.01 for spike frequency) and in the hypertensive patients (r = 0.40, p less than 0.01 for burst rate; r = 0.44, p less than 0.01 for burst incidence; and r = 0.40, p less than 0.01 for spike frequency).(ABSTRACT TRUNCATED AT 250 WORDS)
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In benign essential hypertensives, MSNA at rest is mildly elevated compared with normotensives.
“Also in benign essential hypertensives, MSNA at rest has been shown to be mildly elevated as compared with normotensives in our previous study (6).”
From Elevated sympathetic nerve activity in patients with accelerated essential hypertension. (1993) · cites this paper as [6]
The results obtained from MSNA recordings in this study were similar to those previously published in age-comparable hypertensive subjects.
“The results obtained from MSNA recordings in this study were similar to those previously published in age-comparable hypertensive subjects (15,16,25,26,28).”
From Hypertensive left ventricular hypertrophy: relation to peripheral sympathetic drive (2001) · cites this paper as [25]
Patients with hypertension have a greater frequency of MSNA bursts than properly matched normotensive subjects.
“Despite the difficulty of establishing that every unit within a burst has a vasoconstrictor role, there is a wealth of evidence to suggest that patients with hypertension have a greater frequency of MSNA bursts than properly matched normotensive subjects (15,25–27).”
From Hypertensive left ventricular hypertrophy: relation to peripheral sympathetic drive (2001) · cites this paper as [25]
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Self-citation
- Authors
- Yamada, Y., Miyajima, E., Tochikubo, O., Matsukawa, T., & Ishii, M.
- Affiliations
- Yokohama City University (JP)
- Venue
- Hypertension
- Published
- 1989-06
- Volume
- 13
- Issue
- 6_pt_2
- Pages
- 870-877
- ISSN
- 0194-911X (ISSN-L)
- 1524-4563
- OpenAlex
- W2171483164
- Cited by
- 220
- References
- 38
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 2 · 2023: 4 · 2022: 4 · 2021: 1 · 2020: 8 · 2019: 2 · 2018: 3 · 2017: 3 · 2016: 7 · 2015: 6 · 2014: 10 · 2013: 5 · 2012: 3
- FWCI
- 3.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Hypertension (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Keywords
- muscle sympathetic nerve activity, essential hypertension, age-related changes, sympathetic nervous system, tibial nerve, burst frequency, spike frequency, microneurography, reproducibility
- MeSH terms
- Adolescent, Adult, Aged, Aging, Electrophysiology, Female, Humans, Hypertension, Male, Middle Aged, Muscles, Norepinephrine, Osmolar Concentration, Reference Values, Sympathetic Nervous System, Tibial Nerve
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