1999
DOI: 10.1097/00004872-199917070-00011
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Significance of sympathetic nervous system in sodium-induced nocturnal hypertension

Abstract: BP fails to fall during the night under the high-salt diet in patients with the SS type of essential hypertension. This may be related to the lack of nocturnal decrease in sympathetic nervous activity.

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Cited by 20 publications
(16 citation statements)
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“…We demonstrated recently that a high salt intake increases the plasma concentration of ADMA and decreases that of NO x in patients with salt-sensitive essential hypertension. 2 We further showed that salt-sensitive hypertension manifests an absent or decreased nocturnal reduction in blood pressure, 30 and nondippers, ie, patients with an absent or decreased nocturnal reduction in their blood pressure, tend to have more severe target-organ damage than do dippers, ie, those with a normal nocturnal decrease in blood pressure. 31 Furthermore, a prospective study demonstrated that cardiovascular morbidity was higher in nondippers than in dippers, 32 indicating that ADMA release by shear stress might contribute to the occurrence of cardiovascular events in human hypertension.…”
Section: Discussionmentioning
confidence: 97%
“…We demonstrated recently that a high salt intake increases the plasma concentration of ADMA and decreases that of NO x in patients with salt-sensitive essential hypertension. 2 We further showed that salt-sensitive hypertension manifests an absent or decreased nocturnal reduction in blood pressure, 30 and nondippers, ie, patients with an absent or decreased nocturnal reduction in their blood pressure, tend to have more severe target-organ damage than do dippers, ie, those with a normal nocturnal decrease in blood pressure. 31 Furthermore, a prospective study demonstrated that cardiovascular morbidity was higher in nondippers than in dippers, 32 indicating that ADMA release by shear stress might contribute to the occurrence of cardiovascular events in human hypertension.…”
Section: Discussionmentioning
confidence: 97%
“…Our findings also pattern studies of patients with essential hypertension where blood pressure fails to fall during rest when the subject is on a high NaCl diet and exhibits a salt-sensitive form of hypertension. This finding in humans was associated with a loss of the circadian pattern of plasma norepinephrine (21), which may imply a failure of circadian variation in sympathetic nervous system activity. Because the present WKY/lj-tf and WKY/lj-cr rats both exhibit decreases in daytime arterial pressure and SHR/lj-cr lack the ability to attenuate the pressor effects of high NaCl during rest, the allelic differences among the strains may facilitate identifying those genes that contribute to this failure in regulation.…”
Section: Discussionmentioning
confidence: 93%
“…Sodium sensitivity is affected by such factors as defects in renal sodium excretion (37), abnormally weak suppression of intrarenal renin release (38), paradoxical decrease in atrial natriuretic peptide secretion (39), and decreased renal-kallikrein activity (40). Moreover, increased sympathetic nervous system activity (12,13,41) and pressor reactivity (42) may play a large role in this phenomenon. On the other hand, Grassi et al (43) reported that moderate dietary sodium restriction triggers sympathetic activation, and Minami et al (44) also reported that a high-sodium diet decreased LF/HF in non-sodium-sensitive hypertensive patients.…”
Section: Discussionmentioning
confidence: 99%
“…It has been proposed that accentuation of sympathetic nervous system activity or cardiac sympatho-vagal imbalance may contribute to sodium sensitivity (12,13). The present study investigated the relations among three factors in a group of young men: sleep-BP (base-BP) (3), Salt24, and cardiac sympatho-vagal balance (SVB).…”
mentioning
confidence: 95%
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