Principles of Cardiovascular Neural Regulation in Health and Disease
This book is an attempt to indicate to researchers and clinicians a simple way to approach the complexity of cardiovascular neural regulation. A conceptual pillar like homeostasis is contrasted with instability and a continuous interaction of opposing mec
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BASIC SCIENCE FOR THE CARDIOLOGIST
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B. Levy, A. Tedgui (eds.): Biology ofthe Arterial Wall. 1999 ISBN 0-7923-8458-X M.R. Sanders, l8. Kostis (eds): Molecular Cardiology in Clinical Practice. 1999. ISBN 0-7923-8602-7 B. Swynghedauw (ed.): Molecular Cardiology for the Cardiologist. Second ISBN: 0-7923-8323-0 Edition. 1998. B. Ostadal, F. Kolar (eds.): Cardiac Ischemia: From Injury to Protection. 1999. ISBN: 0-7923-8642-6 H. Schunkert, G.A.l Riegger (eds.): Apoptosis in Cardiac Biology. 1999 ISBN: 0-7923-8648-5 A, Malliani, (ed.): Principles ofCardiovascular Neural Regulation in Health and ISBN: 0-7923-7775-3 Disease.2000.
SPRINGER SCIENCE+BUSINESS MEDIA, LLC
Principles of Cardiovascular Neural Regulation in Health and Disease
by Alberto Malliani Professor of Internal Medicine Centro Ricerche Cardiovascolari, CNR; Dipartimento Scienze Precliniche LITA-Vialba; Dipartimento di Medicina Interna, Ospedale "L. Sacco"; Universita di Milano, Italy
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Library of Congress Cataloging-in-Publication Data MaJliani, Alberto. Principles of cardiovascular neural regulation in health and diseaselby Alberto MaJliani. P.; cm.--(Basic science for the cardiologist; 6) lncludes bibliographical references and index. ISBN 978-1-4613-6971-4 ISBN 978-1-4615-4383-1 (eBook) DOI 10.1007/978-1-4615-4383-1
l. Cardiovascular system--Innervation. 2. Nervous system, Vasomotor. 3. Cardiovascular system--Pathophysiology. 1. Title. II. Series. [DNLM: 1. Cardiovascular Physiology--Cardiovascular Diseases. 2. Homeostasis-Cardiovascular Diseases. 3. Sympathetic Nervous System--Cardiovascular diseases. WG 102 M254p 2000] QP113.4.M352000 612.1--dc21 00-020847
Copyright © 2000 Springer Science+Business Media New York Originally published by Kluwer Academic Publishers in 2000 AJl rights reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means, mechanical, photocopying, recording, or otherwise, without the prior written permission of the publisher, Springer Science+Business Media, LLC.
Printed an acid-free paper.
This book is dedicated to the future of my children Davide, Anna Rachele and Eleonora and to the courage of their grandmother Rachel Krajka.
CONTENTS PREFACE .................................................................
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Acknowledgments ........................................................
xvii
Chapter 1 GENERAL CONCEPTS AND HYPOTHESES IN THE STUDY OF CARDIOVASCULAR NEURAL REGULATION..........................................................
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THE NEGATIVE FEEDBACK...... ... ...... .. .... .. ........ .. .... .....
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THE CENTRAL NEURAL MECHANISMS.......................
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THE CARDIOVASCULAR SYMPATHETIC AFFERENT FIBERS......................................................................
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Functional characteristics of cardiovascular sympathetic sensory endings ........................ .. . .. . . .... .. .. . .. .... . .. . . . ..
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Reflex effects mediated by cardiovascular sympatheti
