RUSSIAN RESEARCH ON ARTERIAL HYPERTENSION

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Abstract
Recent Russian research on arterial hypertension (essential hypertension) is reviewed in the following sections: Central nervous system (C N S) involvement in the pathogenesis of essential hypertension (C N S stimulation and trauma; production of arterial hypertension by experimentally induced functional disturbances of the C N S; psychic stress and emotional trauma; C N S changes in early hypertension); vascular reflexes (carotid sinus and aorta; visceral blood pressure reflexes; chemical and humoral stimuli; diagnostic applications; unconditioned and conditioned peripheral vascular reactions); state of the cardiovascular system in essential hypertension (blood pressure; pulse wave velocity; arterial pulse contour; circulation time; venous pressure; X-ray; ecg; peripheral blood flow; capillaries; arterial O2 saturation); hypertensive headaches; kidney; humoral factors; therapy (psychotherapy; sedatives; sleep therapy; industrial out-patients clinics; local blocking, O2 therapy). The amphasis is on C N S involvement. Essential hypertension is regarded, in principle, as a cardiovascular neurosis. Alterations originating in the cerebral cortex, assumed to be due to emotional trauma, produce first labile and later stable elevation of blood pressure, with secondary renal and cardiac involvement. A large amount of experimental material in animals (rabbits, dogs, monkeys) and clinical observations in man tend to support the concept that C N S involvement is an important link in the pathogenesis and development, of essential hypertension.
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