Document Detail

Hypertension and the microcirculation: a brief overview of experimental studies.
MedLine Citation:
PMID:  1403235     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To review experimental findings on the importance of the microcirculation in hypertension. RESULTS OF DATA ANALYSIS: A significant part of the increase in vascular resistance found in hypertension involves alterations in the arteriolar network. Changes in vascular reactivity and amplification of normal microvascular autoregulatory loops are among the mechanisms involved in these microvascular alterations. Depending on the organ and the type of hypertension, different types of changes have been observed, including (1) changes in resting arteriolar diameter and increased tone, either throughout the arteriolar network or localized to certain arteriolar segments; (2) temporary closure of a significant fraction of the terminal arteriolar bed; and (3) degenerative processes in terminal arterioles and capillaries inducing anatomical rarefaction of the microvessels. CONCLUSIONS: Microvascular changes are responsible for only a portion of the increased resistance but they are extremely important in the global understanding of the hypertensive process, as they are potentially responsible for tissue damage and may be related to the increased risk of organ failure in hypertension.
E Vicaut
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of hypertension. Supplement : official journal of the International Society of Hypertension     Volume:  10     ISSN:  0952-1178     ISO Abbreviation:  J Hypertens Suppl     Publication Date:  1992 Jul 
Date Detail:
Created Date:  1992-11-13     Completed Date:  1992-11-13     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8501422     Medline TA:  J Hypertens Suppl     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  S59-68     Citation Subset:  IM    
Department of Biophysics, Widal Hospital, Paris, France.
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MeSH Terms
Hypertension / pathology,  physiopathology*
Microcirculation / pathology,  physiology*
Vascular Resistance / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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