Renální denervace u pacientů s rezistentní hypertenzí: je možné ji ještě resuscitovat?
[Renal denervation in patients with resistant hypertension: is it still possible to resuscitate?]
Language Czech Country Czech Republic Media print
Document type Journal Article, Review
PubMed
25692837
PII: 51232
- MeSH
- Antihypertensive Agents therapeutic use MeSH
- Denervation methods MeSH
- Hypertension drug therapy physiopathology surgery MeSH
- Blood Pressure drug effects MeSH
- Kidney innervation surgery MeSH
- Humans MeSH
- Sympathectomy methods MeSH
- Treatment Outcome MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Review MeSH
- Names of Substances
- Antihypertensive Agents MeSH
Transcatheter renal denervation (RDN) has been markedly applied and developed in clinical practice in past five years and not only for patients with resistant hypertension. The issue that more than 50% patients with so-called resistant hypertension are in fact patients without adherence to this type of mediation has not been resolved in RDN trials till now. The study Symplicity HTN-3 showed no differences in blood pressure change between the patients with RDN and group of patients after false procedure who continued in their drug therapy. Future of RDN is more than questionable and there is a need to return to animal studies that will verify the real effectiveness of RDN, subsequently, will redefine population of patients indicated for RDN and confirm the applicability of newly developed techniques.