Duration of blood-pressure benefit from stem-cell infusion typically extends 6–18 months, with best outcomes observed when patients maintain lifestyle modification and continue at least low-dose antihypertensive therapy. Some patients experience gradual blood-pressure increase over 12–24 months, potentially requiring booster infusions or medication escalation. Durability depends on baseline endothelial reserve and ongoing cardiovascular risk-factor control (smoking, diet, exercise). Long-term freedom from antihypertensive drugs beyond 2 years post-infusion is rarely documented. Benefit often plateaus; MSCs may enhance rather than replace pharmacotherapy.
Arterial hypertension, or high blood pressure, arises from dysregulated vascular tone, altered endothelial function, sympathetic overactivity, and rarefaction of capillary beds — pathophysiological mechanisms studied across essential and secondary forms. Stem-cell research investigates whether placental mesenchymal stem cells and exosome preparations can restore endothelial homeostasis, promote vascular regeneration, suppress renin-angiotensin-aldosterone axis overactivity, and enhance nitric-oxide bioavailability. With 35 registered trials and 4 currently recruiting, the therapeutic rationale targets restoration of vascular biology rather than symptomatic blood-pressure control. Early clinical data suggest potential for reducing office and ambulatory blood pressure, improving microvascular function, and reducing left-ventricular hypertrophy when administered as adjuncts to standard antihypertensive therapy.
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Revizuit medical de echipa editorială a StemCellAtlas cu Dr Polina Krasenova (Haematologist · Clinical Haematology & Integrative Oncology · 15+ yrs cell therapy) ale clinicii partenere Stem Plus (Sofia), în funcție de orientările ISSCR, FDA și EMA. Educational information, not medical advice; figures indicative.
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