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September 21, 1999Circulation

Single-Unit Sympathetic Discharge

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Key result

Single-unit sympathetic discharge was significantly greater in stage 1 essential hypertension compared to stages 2/3 (63 vs 51 impulses/100 beats, P<0.05) and normal controls.

Why the study?

Does single-unit sympathetic discharge measurement (s-MSNA) better characterize sympathetic output in hypertensive disease compared to multiunit bursts (MSNA)?

Population

74 subjects with a wide range of arterial blood pressure

Comparison

Measurement of single-unit vasoconstrictor… vs Measurement of multiunit bursts (MSNA)

Design

Cross-sectional

Authors

JGJohn P. GreenwoodCardiac ImagingJSJ. B. StokerUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro”DMDavid MaryObservatoire de la Côte d’Azur

Discussion

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Implication

Sympathetic hyperactivity may peak in early hypertension; leaves open its causal role and therapeutic targeting.

Study Design

Type

Observational (n=74)

Structured PICO

Does single-unit sympathetic discharge measurement (s-MSNA) better characterize sympathetic output in hypertensive disease compared to multiunit bursts (MSNA)?

P
Population
74 subjects with normal blood pressure, high normal blood pressure, or stages 1 to 3 essential hypertension.
E
Exposure
Measurement of single-unit vasoconstrictor impulses (s-MSNA)
C
Comparator
Measurement of multiunit bursts (MSNA)
O
Outcome
Sympathetic output measured as impulses/100 beats (s-MSNA) and bursts/100 beats (MSNA)surrogate

Main Result

p-value: p=<0.05

Quantification of single vasoconstrictor units provides evidence of increased central sympathetic output in established essential hypertension, and reveals augmented sympathetic output in mild/early stages compared to more severe hypertension.

Cite This Study

Greenwood et al. (1999) conducted an observational in Hypertension (n=74). Hypertension (high normal and stages 1-3) vs. Normal blood pressure was evaluated on Single-unit sympathetic nerve activity (s-MSNA) (p=<0.05). Single-unit sympathetic discharge was significantly greater in stage 1 essential hypertension compared to stages 2/3 (63 vs 51 impulses/100 beats, P<0.05) and normal controls.

synapsesocial.com/papers/6a2390639e1c90a91c08e6e9https://doi.org/10.1161/01.cir.100.12.1305

Topics

Hypertension management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A quantitative study of muscle nerve sympathetic activity in resting normotensive and hypertensive subjects.1979 · 144 citations
  2. 2Sympathoneural and haemodynamic characteristics of young subjects with mild essential hypertension1993 · 138 citations
  3. 3Age-related changes in muscle sympathetic nerve activity in essential hypertension.1989 · 225 citations
  4. 4Muscle sympathetic activity and plasma noradrenaline in normotensive and hypertensive man1983 · 85 citations
  5. 5Baroreflex Control of Sympathetic Nerve Activity in Essential and Secondary Hypertension1998 · 528 citations