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Schematic illustration of the neural pathways hypotheses in patients with essential hypertension and…
Figure 1
Schematic illustration of the neural pathways hypotheses in patients with essential hypertension and groups at high risk to develop hypertension. Hypothesized connectivity is represented with dashed lines. Known connectivity is represented with continuous lines. Enhanced activation in the pulvinar in face of stimuli interpreted as threatening is expected to result in enhanced activity in limbic regions, including the amygdala, insula, and cingulate regions both directly and indirectly, via the influence of the pulvinar on dysfunctional inhibitory activation in prefrontal and parietal areas. This enhanced limbic activation, in turn, is expected to lead to enhanced symptoms of anxiety, stress, and depression. In addition, enhanced limbic activation is hypothesized to result in dysfunctional brainstem and baroreflex regulatory mechanisms, which are expected to result in exaggerated blood pressure reactions to aversive stimuli.
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