| Intermittent hypoxia: cause of or therapy for systemic hypertension? | |
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MedLine Citation:
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PMID: 18408145 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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During acute episodes of hypoxia, chemoreceptor-mediated sympathetic activity increases heart rate, cardiac output, peripheral resistance and systemic arterial pressure. However, different intermittent hypoxia paradigms produce remarkably divergent effects on systemic arterial pressure in the post-hypoxic steady state. The hypertensive effects of obstructive sleep apnea (OSA) vs. the depressor effects of therapeutic hypoxia exemplify this divergence. OSA, a condition afflicting 15-25% of American men and 5-10% of women, has been implicated in the pathogenesis of systemic hypertension and is a major risk factor for heart disease and stroke. OSA imposes a series of brief, intense episodes of hypoxia and hypercapnia, leading to persistent, maladaptive chemoreflex-mediated activation of the sympathetic nervous system which culminates in hypertension. Conversely, extensive evidence in animals and humans has shown controlled intermittent hypoxia conditioning programs to be safe, efficacious modalities for prevention and treatment of hypertension. This article reviews the pertinent literature in an attempt to reconcile the divergent effects of intermittent hypoxia therapy and obstructive sleep apnea on hypertension. Special emphasis is placed on research conducted in the nations of the former Soviet Union, where intermittent hypoxia conditioning programs are being applied therapeutically to treat hypertension in patients. Also reviewed is evidence regarding mechanisms of the pro- and anti-hypertensive effects of intermittent hypoxia. |
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Authors:
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Tatiana V Serebrovskaya; Eugenia B Manukhina; Michael L Smith; H Fred Downey; Robert T Mallet |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Review Date: 2008-04-11 |
Journal Detail:
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Title: Experimental biology and medicine (Maywood, N.J.) Volume: 233 ISSN: 1535-3702 ISO Abbreviation: Exp. Biol. Med. (Maywood) Publication Date: 2008 Jun |
Date Detail:
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Created Date: 2008-05-26 Completed Date: 2008-07-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100973463 Medline TA: Exp Biol Med (Maywood) Country: United States |
Other Details:
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Languages: eng Pagination: 627-50 Citation Subset: IM |
Affiliation:
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Bogomoletz Institute of Physiology, 4 Bogomoletz St., Kiev 01024, Ukraine. sereb@biph.kiev.ua |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Altitude Animals Anoxia* Blood Pressure Climate Equipment Design Female Hemodynamics Humans Hypertension* / therapy Male Models, Biological Nervous System Reactive Oxygen Species Sleep Apnea, Obstructive / pathology |
| Grant Support | |
ID/Acronym/Agency:
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AT-003598/AT/NCCAM NIH HHS |
| Chemical | |
Reg. No./Substance:
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0/Reactive Oxygen Species |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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