循環器ジャーナル68巻1号

2020年01月発行

特集 U40世代が描く心不全診療の現状と未来—基礎研究を識り，臨床を素心深考する Ⅲ．臓器関連

—臨床編—脳：自律神経が血行動態に与える影響と病態はどのようなものですか？—自律神経による血行動態制御と心不全

著者： 坂本隆史¹

所属機関： ¹九州大学病院循環器内科

ページ範囲：P.122 - P.126

Point
・自律神経は様々な外乱に対して血行動態などの恒常性を保つための重要なシステムである．
・生体の様々な情報を求心性に脳に伝達し，交感神経や迷走神経が変化し，効果器による血行動態応答が起こる．
・心不全では，これらのいずれかの応答性の異常により最適なfeedback制御が破綻している．

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