Target intelligence / Profile preview

Baroreflex sensitivity (BRS)

Target
BRS
Molecular classification
Other
01

Overview

Baroreflex sensitivity (BRS) quantifies the responsiveness of the arterial baroreflex, expressed as the change in interbeat interval (IBI) per unit change in blood pressure (BP)[1][8]. The baroreflex is a key homeostatic mechanism, adjusting heart rate via autonomic nervous system activity to rapidly counteract fluctuations in systemic blood pressure[5]. Impaired BRS is a marker of cardiovascular autonomic dysfunction and is associated with poor prognosis in conditions such as heart failure, hypertension, and after myocardial infarction[7][8]. BRS can be measured experimentally using pharmacological agents (e.g., phenylephrine), maneuvers (Valsalva), or via spontaneous recordings of heart rate and blood pressure variability[1][7]. Baroreflex activation therapy is being explored as a strategy to treat resistant hypertension and heart failure by modulating baroreceptor neuronal pathways, but BRS itself is a clinical parameter, not a molecular target[5].

Other names
BRSbaroreceptor-heart rate reflex sensitivityarterial baroreflex sensitivity
02

Mechanism of action

Not applicable; BRS is a measure, not a molecular target.

03

Biological functions

Circulatory homeostasisBlood pressure regulationAutonomic nervous system function
04

Disease associations

Cardiovascular disease (risk stratification and progression)Heart failureHypertensionAutonomic dysfunction
05

Safety considerations

Not directly applicable, but decreased baroreflex sensitivity is associated with increased risk of fatal arrhythmias and adverse cardiovascular events
06

Interacting drugs

phenylephrine

1 more in the full profile.

07

Biomarkers

Baroreflex sensitivity itself serves as a biomarker for patient selection, risk stratification, and efficacy monitoring in cardiovascular disease

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