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• W2095381036 abstract "HomeHypertensionVol. 11, No. 2Hemodynamics of the carotid artery after vasodilation in essential hypertension. Free AccessAbstractPDF/EPUBAboutView PDFSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toFree AccessAbstractPDF/EPUBHemodynamics of the carotid artery after vasodilation in essential hypertension. S Laurent, P Lacolley, G London and M Safar S LaurentS Laurent Diagnosis Center, Broussais Hospital, Paris, France. Search for more papers by this author , P LacolleyP Lacolley Diagnosis Center, Broussais Hospital, Paris, France. Search for more papers by this author , G LondonG London Diagnosis Center, Broussais Hospital, Paris, France. Search for more papers by this author and M SafarM Safar Diagnosis Center, Broussais Hospital, Paris, France. Search for more papers by this author Originally published1 Feb 1988https://doi.org/10.1161/01.HYP.11.2.134Hypertension. 1988;11:134–140AbstractWe performed simultaneous noninvasive measurements of common carotid artery and brachial artery hemodynamics in nine normal subjects and 10 subjects with sustained essential hypertension. In hypertensive subjects, brachial artery blood flow and forearm vascular resistance were in the normal range while carotid artery blood flow and carotid artery resistance were decreased and increased, respectively. The most important findings were the changes in the internal caliber of large arteries. Although the brachial and carotid artery diameters of hypertensive subjects were measured for the same level of mean arterial pressure, brachial artery diameter was significantly increased and carotid artery diameter was strictly normal as compared with values found in normal subjects. To assess whether carotid artery circulation could influence the baroreceptor reflex response to arteriolar vasodilation, carotid artery and brachial artery hemodynamics were measured in immediate succession in normotensive and hypertensive subjects before and after oral administration of cadralazine, a dihydralazine derivative. After cadralazine treatment, carotid artery tangential tension decreased in hypertensive subjects, and the changes were significantly correlated to the increase in heart rate. A similar correlation was found in normal subjects, but it was reset toward higher heart rates. These results indicate that the carotid artery does not behave like the brachial artery in response to a chronic increase in blood pressure. This behavior indicates intrinsic alterations of the arterial wall and might be involved in the resetting of the carotid baroreceptor reflex. Carotid artery circulation could play a role in hypertension by modulating the carotid baroreceptor mechanisms involved in the response to drug-induced arteriolar vasodilation.(ABSTRACT TRUNCATED AT 250 WORDS) Previous Back to top Next FiguresReferencesRelatedDetailsCited By Kamran H, Salciccioli L, Eun Hee Ko , Qureshi G, Kazmi H, Kassotis J and Lazar J (2009) Effect of Reactive Hyperemia on Carotid-Radial Pulse Wave Velocity in Hypertensive Participants and Direct Comparison With Flow-Mediated Dilation: A Pilot Study, Angiology, 10.1177/0003319709335028, 61:1, (100-106), Online publication date: 1-Feb-2010. Denniss S and Rush J (2009) Impaired hemodynamics and endothelial vasomotor function via endoperoxide-mediated vasoconstriction in the carotid artery of spontaneously hypertensive rats, American Journal of Physiology-Heart and Circulatory Physiology, 10.1152/ajpheart.00933.2008, 296:4, (H1038-H1047), Online publication date: 1-Apr-2009. Uechi Y, Sunagawa O, Ishikawa N, Inoue T, Tamashiro M, Kamiyama T, Suzuki T, Touma T and Fukiyama K (2001) Risk Factors for Stiffness of the Wall of the Thoracic Aorta in Patients With Mild Atherosis., Japanese Circulation Journal, 10.1253/jcj.65.409, 65:5, (409-413), . Shroff S and Lang R (1997) Noninvasive Evaluation of Aortic Elastic Properties Echocardiography and Cardiovascular Function: Tools for the Next Decade, 10.1007/978-1-4615-6145-3_6, (99-122), . Jones E, Devereux R, O’Grady M, Schwartz J, Liu J, Pickering T and Roman M (1997) Relation of Hemodynamic Volume Load to Arterial and Cardiac Size, Journal of the American College of Cardiology, 10.1016/S0735-1097(97)82755-6, 29:6, (1303-1310), Online publication date: 1-May-1997. Levy B (1996) The mechanical properties of the arterial wall in hypertension, Prostaglandins, Leukotrienes and Essential Fatty Acids, 10.1016/S0952-3278(96)90079-4, 54:1, (39-43), Online publication date: 1-Jan-1996. Lang R, Cholley B, Korcarz C, Marcus R and Shroff S (1994) Measurement of regional elastic properties of the human aorta. A new application of transesophageal echocardiography with automated border detection and calibrated subclavian pulse tracings., Circulation, 90:4, (1875-1882), Online publication date: 1-Oct-1994.Roman M, Saba P, Pini R, Spitzer M, Pickering T, Rosen S, Alderman M and Devereux R (1992) Parallel cardiac and vascular adaptation in hypertension., Circulation, 86:6, (1909-1918), Online publication date: 1-Dec-1992.Arnold J, Marchiori G, Imrie J, Burton G, Pflugfelder P and Kostuk W (1991) Large artery function in patients with chronic heart failure. Studies of brachial artery diameter and hemodynamics., Circulation, 84:6, (2418-2425), Online publication date: 1-Dec-1991. Safar M, Cuche J and Pannier B (1991) Abnahme der arteriellen Compliance: Beurteilung und Behandlung Endorganschädigungen der arteriellen Hypertonie — Konsequenzen für Diagnostik und Therapie, 10.1007/978-3-642-76361-8_10, (89-98), . Brunel P, Lecaillon J, Guyene T, Imhof P and Menard J (2012) Influence of acetylator status on the haemodynamic effects and pharmacokinetics of cadralazine in healthy subjects., British Journal of Clinical Pharmacology, 10.1111/j.1365-2125.1990.tb03672.x, 29:5, (503-509), Online publication date: 1-May-1990. Berlin I, Cournot A, Renout P, Duchier J and Safar M (1990) Peripheral haemodynamic effects of smoking in habitual smokers. A methodological study, European Journal of Clinical Pharmacology, 10.1007/BF00314804, 38:1, (57-60), Online publication date: 1-Jan-1990. Pannier B, Kando T, Safarian A, Isnard R, Diebold B and Safar M (2013) Altered Hemodynamic Response to Isosorbide Dinitrate in Essential Hypertension, The Journal of Clinical Pharmacology, 10.1002/j.1552-4604.1990.tb03450.x, 30:2, (127-132), Online publication date: 1-Feb-1990. Lacolley P, Laurent S, Billaud E and Safar M (1989) Carotid arterial hemodynamics in hypertension: Acute administration of captopril or cadralazine, Cardiovascular Drugs and Therapy, 10.1007/BF01869573, 3:6, (859-863), Online publication date: 1-Nov-1989. Isnard R, Pannier B, Laurent S, London G, Diebold B and Safar M (1989) Pulsatile diameter and elastic modulus of the aortic arch in essential hypertension: A noninvasive study, Journal of the American College of Cardiology, 10.1016/0735-1097(89)90518-4, 13:2, (399-405), Online publication date: 1-Feb-1989. Safar M, Laurent S, Benetos A and London G (1988) The common carotid circulation in patients with essential hypertension., Stroke, 19:10, (1198-1202), Online publication date: 1-Oct-1988. February 1988Vol 11, Issue 2 Advertisement Article InformationMetrics Copyright © 1988 by American Heart Associationhttps://doi.org/10.1161/01.HYP.11.2.134PMID: 3343045 Originally publishedFebruary 1, 1988 PDF download Advertisement" @default.
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