Hypertension, Vol 2, 243-255, Copyright © 1980 by American Heart Association
DM Kuhn, WA Wolf and W Lovenberg
Alterations in the dynamics of brain serotonin biosynthesis can lead to
changes in cardiovascular function. It appears that the activation of
cerebral serotonin receptors produces a pressor effect in normotensive rats
but produces a depressor effect in normotensive cats or dogs. On the other
hand, reductions in the levels of serotonin can prevent the onset of
hypertension in some experimental hypertensive models and lower the blood
pressure of organisms with established hypertension. The ability of brain
serotonin to modulate arterial blood pressure may be mediated by the
influences of the serotonergic neuronal systems on efferent sympathetic
activity. Finally, the reduction in sympathetic outflow produced by
increasing brain serotonin levels in dogs protects the heart against
ventricular fibrillation and may, therefore, constitute a reasonable
adjunct in the management of high-risk, cardiac- arrest patients.
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Review of the role of the central serotonergic neuronal system in blood pressure regulation
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