scholarly journals CrossTalk opposing view: Which technique for controlling resistant hypertension? Carotid sinus stimulation

2014 ◽  
Vol 592 (18) ◽  
pp. 3933-3935 ◽  
Author(s):  
Jens Jordan
Keyword(s):  
Resistant Hypertension ◽  
Carotid Sinus ◽  
Opposing View ◽  
Carotid Sinus Stimulation

Device therapy of resistant hypertension

2013 ◽  
Vol 154 (6) ◽  
pp. 203-208 ◽  
Author(s):  
Gábor Simonyi ◽  
J. Róbert Bedros ◽  
Mihály Medvegy
Keyword(s):  
Blood Pressure ◽  
Cardiovascular Risk ◽  
Resistant Hypertension ◽  
Carotid Sinus ◽  
Maximum Tolerated Dose ◽  
Reduce Blood Pressure ◽  
Nerve Fibers ◽  
Uncontrolled Hypertension ◽  
Sympathetic Nerve Fibers ◽  
Treatment Of Hypertension

It is well known that hypertension is an independent cardiovascular risk factor. Treatment of hypertension frequently includes administration of three or more drugs. Resistant hypertension is defined when blood pressure remains above target value despite full doses (the patient’s maximum tolerated dose) of antihypertensive medication consisting of at least three different classes of drugs including a diuretic. Pharmacological treatment of hypertension is often unsuccessful despite the increasing number of drug combinations. Uncontrolled hypertension, however, increases the cardiovascular risk. Device treatment of resistant hypertension is currently testing two major fields. One of them the stimulation of baroreceptors in the carotid sinus and the other is radiofrequency ablation of sympathetic nerve fibers around renal arteries to reduce blood pressure in drug resistant hypertension. Orv. Hetil., 2013, 154, 203–208.

Stretching the carotid sinus to treat resistant hypertension

The Lancet ◽  
2017 ◽  
Vol 390 (10113) ◽  
pp. 2610-2612 ◽  
Author(s):  
Pierre-Yves Courand ◽  
Pierre Lantelme
Keyword(s):  
Resistant Hypertension ◽  
Carotid Sinus

Carotid sinus depressor reflexes during hypothermia

1964 ◽  
Vol 207 (4) ◽  
pp. 777-781 ◽  
Author(s):  
J. E. Kendrick ◽  
Kenneth A. Turner
Keyword(s):  
Smooth Muscle ◽  
Carotid Sinus ◽  
Baroreceptor Reflex ◽  
The Body ◽  
Lower Body ◽  
Body Temperatures ◽  
Small Reduction ◽  
Local Cooling ◽  
Carotid Sinus Stimulation ◽  
Reflex Arc

Reducing body temperature in dogs to 24 C caused a small reduction in the size of the carotid sinus depressor response. Along with this reduction the response also became more gradual at the lower body temperatures. Systematic studies demonstrated that the more gradual nature of the response appeared to result from changes in the vascular smooth muscle. Depression of the nervous elements of the baroreceptor reflex arc during hypothermia was not evident. The response to carotid sinus stimulation in the warm, perfused hindlimb was essentially unchanged by cooling the body to 24 C. Local cooling of the perfused hindleg did not reduce the size but did result in a more gradual response.

scholarly journals Effect of head up tilt on response to carotid sinus stimulation in patients with recurrent syncope

1998 ◽  
Vol 31 ◽  
pp. 37
Author(s):  
R. Krol ◽  
S. Saksena ◽  
A. Prakash ◽  
G. Krol ◽  
P. Default ◽  
...  
Keyword(s):  
Carotid Sinus ◽  
Carotid Sinus Stimulation ◽  
Head Up Tilt

scholarly journals Coronary artery spasm induced by carotid sinus stimulation during neck surgery

2003 ◽  
Vol 90 (3) ◽  
pp. 391-394 ◽  
Author(s):  
S.S. Choi ◽  
Y.-J. Lim ◽  
J.-H. Bahk ◽  
S.-H. Do ◽  
B.-M. Ham
Keyword(s):  
Coronary Artery ◽  
Carotid Sinus ◽  
Coronary Artery Spasm ◽  
Neck Surgery ◽  
Carotid Sinus Stimulation
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