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Cardiologia. 1993 Dec;38(12):411-4.

[Behavior, sympathetic nervous system, and arterial hypertension].

Cardiologia (Rome, Italy)

[Article in Italian]
A Malliani

Affiliations

  1. Medicina Interna II, Università degli Studi, Ospedale L Sacco, Milano.

PMID: 8020043

Abstract

The discharge of sympathetic and vagal outflows appears regulated, in general, by a reciprocal interaction, that is to say that the increased activity of one component is accompanied by the decreased activity of the other. A sympathetic excitation can depend on central neural mechanisms, on peripheral excitatory reflexes and on a reduced inhibition exerted by inhibitory reflex mechanisms. Behavioral studies can reveal conditions associated with an increased sympathetic activity and with an augmented arterial pressure. The use of a spectral methodology applied to the study of cardiovascular variability allows the quantification, on the whole, of the state of sympatho-vagal balance: in the course of essential arterial hypertension this equilibrium appears shifted towards a sympathetic predominance.

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