Arterial stiffening provides sufficient explanation for primary hypertension.
Hypertension is one of the most common age-related chronic disorders, and by predisposing individuals for heart failure, stroke, and kidney disease, it is a major source of morbidity and mortality. Its etiology remains enigmatic despite intense research efforts over many decades. By use of empirical...
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2014
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oai:doaj.org-article:261f1dc6c8c64bf694460bedc44d6ab32021-11-11T05:52:09ZArterial stiffening provides sufficient explanation for primary hypertension.1553-734X1553-735810.1371/journal.pcbi.1003634https://doaj.org/article/261f1dc6c8c64bf694460bedc44d6ab32014-05-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24853828/pdf/?tool=EBIhttps://doaj.org/toc/1553-734Xhttps://doaj.org/toc/1553-7358Hypertension is one of the most common age-related chronic disorders, and by predisposing individuals for heart failure, stroke, and kidney disease, it is a major source of morbidity and mortality. Its etiology remains enigmatic despite intense research efforts over many decades. By use of empirically well-constrained computer models describing the coupled function of the baroreceptor reflex and mechanics of the circulatory system, we demonstrate quantitatively that arterial stiffening seems sufficient to explain age-related emergence of hypertension. Specifically, the empirically observed chronic changes in pulse pressure with age and the impaired capacity of hypertensive individuals to regulate short-term changes in blood pressure arise as emergent properties of the integrated system. The results are consistent with available experimental data from chemical and surgical manipulation of the cardio-vascular system. In contrast to widely held opinions, the results suggest that primary hypertension can be attributed to a mechanogenic etiology without challenging current conceptions of renal and sympathetic nervous system function.Klas H PettersenScott M BugenhagenJavaid NaumanDaniel A BeardStig W OmholtPublic Library of Science (PLoS)articleBiology (General)QH301-705.5ENPLoS Computational Biology, Vol 10, Iss 5, p e1003634 (2014) |
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Biology (General) QH301-705.5 |
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Biology (General) QH301-705.5 Klas H Pettersen Scott M Bugenhagen Javaid Nauman Daniel A Beard Stig W Omholt Arterial stiffening provides sufficient explanation for primary hypertension. |
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Hypertension is one of the most common age-related chronic disorders, and by predisposing individuals for heart failure, stroke, and kidney disease, it is a major source of morbidity and mortality. Its etiology remains enigmatic despite intense research efforts over many decades. By use of empirically well-constrained computer models describing the coupled function of the baroreceptor reflex and mechanics of the circulatory system, we demonstrate quantitatively that arterial stiffening seems sufficient to explain age-related emergence of hypertension. Specifically, the empirically observed chronic changes in pulse pressure with age and the impaired capacity of hypertensive individuals to regulate short-term changes in blood pressure arise as emergent properties of the integrated system. The results are consistent with available experimental data from chemical and surgical manipulation of the cardio-vascular system. In contrast to widely held opinions, the results suggest that primary hypertension can be attributed to a mechanogenic etiology without challenging current conceptions of renal and sympathetic nervous system function. |
format |
article |
author |
Klas H Pettersen Scott M Bugenhagen Javaid Nauman Daniel A Beard Stig W Omholt |
author_facet |
Klas H Pettersen Scott M Bugenhagen Javaid Nauman Daniel A Beard Stig W Omholt |
author_sort |
Klas H Pettersen |
title |
Arterial stiffening provides sufficient explanation for primary hypertension. |
title_short |
Arterial stiffening provides sufficient explanation for primary hypertension. |
title_full |
Arterial stiffening provides sufficient explanation for primary hypertension. |
title_fullStr |
Arterial stiffening provides sufficient explanation for primary hypertension. |
title_full_unstemmed |
Arterial stiffening provides sufficient explanation for primary hypertension. |
title_sort |
arterial stiffening provides sufficient explanation for primary hypertension. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2014 |
url |
https://doaj.org/article/261f1dc6c8c64bf694460bedc44d6ab3 |
work_keys_str_mv |
AT klashpettersen arterialstiffeningprovidessufficientexplanationforprimaryhypertension AT scottmbugenhagen arterialstiffeningprovidessufficientexplanationforprimaryhypertension AT javaidnauman arterialstiffeningprovidessufficientexplanationforprimaryhypertension AT danielabeard arterialstiffeningprovidessufficientexplanationforprimaryhypertension AT stigwomholt arterialstiffeningprovidessufficientexplanationforprimaryhypertension |
_version_ |
1718439470540259328 |