Sympathetic Nervous System Activity and the Heart

Jay N Cohn

Research output: Contribution to journalArticlepeer-review

29 Scopus citations

Abstract

The sympathetic nervous system has been viewed as the critical mechanism for cardiovascular response to increased circulatory needs during acute stress, augmenting cardiac rate and contractility and changing peripheral vascular tone. These physiologic responses, however, are increasingly thought to cause long-term adverse effects‒such as altered myocardial function; renal, systemic, and coronary vasoconstriction; ventricular arrhythmias; and left ventricular hypertrophy‒for some patients with cardiovascular disease. How the sympathetic nervous system affects the pathophysiology of cardiovascular diseases is not fully understood, although new techniques for assessing plasma catecholamines and for quantitating sympathetic activity are adding to our knowledge. Nevertheless, a review of the physiologic responses to sympathetic nervous system stimulation reveals much about their possible role in the cardiovascular disease process. Am J Hypertens 1989;2:353S–356S.

Original languageEnglish (US)
Pages (from-to)353S-356S
JournalAmerican journal of hypertension
Volume2
Issue number12
DOIs
StatePublished - Dec 1989

Keywords

  • Catecholamines
  • Heart failure
  • Left ventricular hypertrophy
  • Myocardial infarction
  • Norepinephrine
  • Sympathetic discharge
  • Sympathetic nervous system
  • Sympathetic stimulation
  • β-receptor blockade

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