Total Cardiovascular Risk, Blood Pressure Variability and Adrenergic Overdrive in Hypertension: Evidence, Mechanisms and Clinical Implications

Overview

Journal Curr Hypertens Rep

Specialty Cardiology & Vascular Diseases

Date 2012 May 4

PMID 22552574

Citations 33

Authors

Guido Grassi

Michele Bombelli

Gianmaria Brambilla

Fosca Quarti Trevano

Raffaella DellOro

Giuseppe Mancia

Affiliations

Soon will be listed here.

Abstract

In hypertensive patients the risk of developing cardiovascular events and complications depends not only on the magnitude of the blood pressure elevation, but also, and to a consistent extent, on the presence of associated cardiovascular risk factors, concomitant disease and target organ damage. Recent findings suggest that also sympathetic overdrive and alterations in blood pressure variability (which are detected in hypertension) may participate at the increased cardiovascular risk of the patients with high blood pressure. This review will discuss the evidence collected over the past few years on the relationships between sympathetic activation and blood pressure variability and their impact on cardiovascular risk profile.

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