作者
Camilo Toledo, David C Andrade, Claudia Lucero, Harold D Schultz, Noah Marcus, Mauricio Retamal, Carlos Madrid, Rodrigo Del Rio
发表日期
2017/1/1
来源
The Journal of physiology
卷号
595
期号
1
页码范围
43-51
简介
Chronic heart failure (CHF) is a major public health problem. Tonic hyper‐activation of sympathetic neural outflow is commonly observed in patients with CHF. Importantly, sympatho‐excitation in CHF exacerbates its progression and is strongly related to poor prognosis and high mortality risk. Increases in both peripheral and central chemoreflex drive are considered markers of the severity of CHF. The principal peripheral chemoreceptors are the carotid bodies (CBs) and alteration in their function has been described in CHF. Mainly, during CHF the CB chemosensitivity is enhanced leading to increases in ventilation and sympathetic outflow. In addition to peripheral control of breathing, central chemoreceptors (CCs) are considered a dominant mechanism in ventilatory regulation. Potentiation of the ventilatory and sympathetic drive in response to CC activation has been shown in patients with CHF as well as in …
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C Toledo, DC Andrade, C Lucero, HD Schultz… - The Journal of physiology, 2017