Italian Society of Interventional Cardiology (GISE) and Italian Society of Arterial Hypertension (SIIA) Position Paper on the role of renal denervation in the management of the difficult-to-treat hypertension

被引:3
|
作者
Stabile, Eugenio [1 ]
Muiesan, Maria L. [2 ]
Ribichini, Flavio L. [3 ]
Sangiorgi, Giuseppe [4 ]
Taddei, Stefano [5 ]
Versaci, Francesco [6 ]
Villari, Bruno [7 ]
Bacca, Alessandra [5 ]
Benedetto, Daniela [4 ]
Fioretti, Vincenzo [1 ,8 ]
Laurenzano, Eugenio [7 ]
Scapaticci, Massimilano [6 ]
Saia, Francesco [9 ]
Tarantini, Giuseppe [1 ,10 ]
Grassi, Guido [1 ,11 ]
Esposito, Giovanni [8 ]
机构
[1] Azienda Osped Reg San Carlo, Cardiovasc Dept, Div Cardiol, Potenza, Italy
[2] Univ Brescia, Dept Clin & Expt Sci, Brescia, Italy
[3] Univ Verona, Dept Med, Div Cardiovasc Med, Verona, Italy
[4] Tor Vergata Univ Hosp, Div Cardiol, Rome, Italy
[5] Univ Pisa, Dept Clin & Expt Med, Pisa, Italy
[6] Santa Maria Goretti Hosp, Div Cardiol, Latina, Italy
[7] Sacro Cuore Gesu Hosp, Dept Cardiol, Benevento, Italy
[8] Univ Naples Federico II, Dept Adv Biomed Sci, Div Cardiol, Via Pansini 5, I-80123 Naples, Italy
[9] IRCCS Univ Hosp Bologna, Cardiothoracovasc Dept, Cardiol Unit, Policlin S Orsola, Bologna, Italy
[10] Univ Padua, Med Sch, Dept Cardiac Thorac Vasc Sci & Publ Hlth, Padua, Italy
[11] Univ Milano Bicocca, Clin Med, Milan, Italy
关键词
Denervation; Hypertension; Guideline; UNCONTROLLED HYPERTENSION; PRIMARY ALDOSTERONISM; RESISTANT; CATHETER; SAFETY; SYMPATHECTOMY; ADHERENCE; DIAGNOSIS; EFFICACY; OUTCOMES;
D O I
10.23736/S2724-5683.23.06433-5
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Renal denervation (RDN) is a safe and effective strategy for the treatment of difficult to treat hypertension. The blood pressure (BP) -lowering efficacy of RDN is comparable to those of many single antihypertensive medications and it allows to consider the RDN as a valuable option for the treatment of difficult to treat hypertension together with lifestyle modifications and medical therapy. A multidisciplinary team is of pivotal importance from the selection of the patient candidate for the procedure to the post -procedural management. Further studies are needed to investigate the effect of RDN on clinical outcomes and to better identify the predictors of BP response to RDN in order to recognize the patients who are more likely to benefit from the procedure.
引用
收藏
页码:313 / 328
页数:16
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