Cardiac chronotropic and vascular resistance arms of baroreflex in obesity

J. Krohova, B. Czippelova, Z. Turianikova, M. Kuricová, D. Černochová, L. Faes, M. Javorka
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Abstract

Considering the potential involvement of the impaired baroreflex function in the pathogenesis of blood pressure dysregulation, including hypertension, this study was aimed to investigate potential changes in two arms of baroreflex control in young normotensive obese patients. Decreases in both arms reflecting impairment of baroreflex function and decreased response of baroreflex related measures to passive orthostasis were observed. We conclude that for better characterization of baroreflex function, not only heart rate as a target of its control should be considered. We suggest that baroreflex impairment affecting both heart rate and vasomotion regulation could be one of the factors contributing to the future development of hypertension in this high-risk associated group.
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肥胖患者的心脏变时性和压力反射血管阻力臂
考虑到血压反射功能受损可能参与包括高血压在内的血压失调的发病机制,本研究旨在探讨年轻正常血压肥胖患者血压反射控制的两臂的潜在变化。观察到双臂的减少反映了压力反射功能的损害,以及压力反射相关措施对被动直立的反应下降。我们的结论是,为了更好地表征压力反射功能,不应该只考虑心率作为其控制的目标。我们认为,影响心率和血管舒缩调节的压力反射损伤可能是导致这一高危相关人群未来发展为高血压的因素之一。
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