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Baroreflex activation therapy is an approach to treating high blood pressure and the symptoms of heart failure. It uses an implanted device to electrically stimulate baroreceptors in the carotid sinus region. This elicits a reflex response through the sympathetic and vagal nervous systems that reduces blood pressure.
When blood pressure rises, the carotid and aortic sinuses are distended further, resulting in increased stretch and, therefore, a greater degree of activation of the baroreceptors. At normal resting blood pressures, many baroreceptors are actively reporting blood pressure information and the baroreflex is actively modulating autonomic activity.
Arterial baroreceptors are located in the carotid sinus (at the bifurcation of common carotid artery into external and internal carotids) and in the aortic arch. [5] The baroreceptors can identify the changes in both the average blood pressure or the rate of change in pressure with each arterial pulse.
High pressure receptors or high pressure baroreceptors are the baroreceptors found within the aortic arch and carotid sinus. They are only sensitive to blood pressures above 60 mmHg . When these receptors are activated they elicit a depressor response; which decreases the heart rate and causes a general vasodilation .
The carotid sinus baroreceptor can be oversensitive to manual stimulation from the pressure applied at the carotid sinus at the carotid bifurcation. It is a condition known as 'carotid sinus hypersensitivity' (CSH), 'carotid sinus syndrome' or 'carotid sinus syncope', in which manual stimulation causes large changes in heart rate and blood ...
Reflex bradycardia is a bradycardia (decrease in heart rate) in response to the baroreceptor reflex, one of the body's homeostatic mechanisms for preventing abnormal increases in blood pressure. In the presence of high mean arterial pressure , the baroreceptor reflex produces a reflex bradycardia as a method of decreasing blood pressure by ...
It conveys information from the baroreceptors of the carotid sinus to the vasomotor center in the brainstem (in order to mediate blood pressure homeostasis), and from chemoreceptors of the carotid body [further explanation needed] (mainly conveying information about partial pressures of blood oxygen, and carbon dioxide).
change of blood pH, detected by central chemoreceptors. [4] change of blood pH, detected by peripheral chemoreceptors in the aortic bodies and in the carotid bodies. [4] change of blood pressure, detected by arterial baroreceptors in the aortic arch and the carotid sinuses. [2] various other inputs from the hypothalamus, thalamus, and cerebral ...