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2016 ; 31
(2
): 185-94
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Primary hypertension is a disease of premature vascular aging associated with
neuro-immuno-metabolic abnormalities
#MMPMID25724169
Litwin M
; Feber J
; Niemirska A
; Micha?kiewicz J
Pediatr Nephrol
2016[Feb]; 31
(2
): 185-94
PMID25724169
show ga
There is an increasing amount of data indicating that primary hypertension (PH)
is not only a hemodynamic phenomenon but also a complex syndrome involving
abnormal fat tissue distribution, over-activity of the sympathetic nervous system
(SNS), metabolic abnormalities, and activation of the immune system. In children,
PH usually presents with a typical phenotype of disturbed body composition,
accelerated biological maturity, and subtle immunological and metabolic
abnormalities. This stage of the disease is potentially reversible. However,
long-lasting over-activity of the SNS and immuno-metabolic alterations usually
lead to an irreversible stage of cardiovascular disease. We describe an
intermediate phenotype of children with PH, showing that PH is associated with
accelerated development, i.e., early premature aging of the immune, metabolic,
and vascular systems. The associations and determinants of hypertensive organ
damage, the principles of treatment, and the possibility of rejuvenation of the
cardiovascular system are discussed.