Plasma Norepinephrine Response to Tilting in Essential Hypertension
Author(s) -
Roger B. Hickler,
James T. Hamlin,
Roe E. Wells
Publication year - 1959
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/01.cir.20.3.422
Subject(s) - medicine , norepinephrine , baroreceptor , essential hypertension , endocrinology , peripheral , pathophysiology of hypertension , reflex , blood pressure , cardiology , anesthesia , heart rate , dopamine
A significant increase in the plasma concentration of norepinephrine on tilting 19 normal subjects from the horizontal to 60° upright is described. Evidence that this represents an increased neuroadrenergic activity to maintain cerebral circulation despite the peripheral pooling of blood has previously been reported. When 9 subjects with severe essential hypertension were similarly tilted, the rise in plasma norepinephrine concentration was insignificant. This may indicate a diminished neuroadrenergic activity in essential hypertension due to compensatory reflexes from the baroreceptor regions.
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