Title
Arterial Stiffening Provides Sufficient Explanation for Primary Hypertension.
Abstract
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.
Year
DOI
Venue
2014
10.1371/journal.pcbi.1003634
PLOS COMPUTATIONAL BIOLOGY
Keywords
Field
DocType
biomedical research,bioinformatics
Sympathetic nervous system,Heart failure,Baroreflex,Biology,Pulse pressure,Stroke,Kidney disease,Blood pressure,Bioinformatics,Vascular resistance
Journal
Volume
Issue
Citations 
10
5
2
PageRank 
References 
Authors
0.58
0
5
Name
Order
Citations
PageRank
Klas H. Pettersen1949.03
Scott M. Bugenhagen220.58
Javaid Nauman320.58
D A Beard49614.18
Stig W. Omholt520.58