Novel Antihypertensive Therapies: Renal Sympathetic Nerve Ablation and Carotid Baroreceptor Stimulation

被引:7
|
作者
Grassi, Guido [1 ,2 ,3 ]
Seravalle, Gino [2 ]
Brambilla, Gianmaria [2 ]
Bombelli, Michele [2 ]
Dell'Oro, Raffaella [2 ]
Gronda, Edoardo [3 ]
Mancia, Giuseppe [2 ]
机构
[1] Univ Milano Bicocca, San Gerardo Hosp, Med Clin, I-20052 Monza, MI, Italy
[2] Univ Milano Bicocca, Dept Clin Med & Prevent, Med Clin, I-20052 Monza, MI, Italy
[3] Ist Ric & Cura Carattere Sci Multimed, Milan, Italy
关键词
Hypertension; Blood pressure; Resistant hypertension; Interventions; Renal denervation; Carotid baroreceptor stimulation; End-organ damage; Insulin; Side effects; BAROREFLEX ACTIVATION THERAPY; RESISTANT HYPERTENSION; BLOOD-PRESSURE; DOUBLE-BLIND; DENERVATION; SPIRONOLACTONE;
D O I
10.1007/s11906-012-0312-5
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Therapeutic interventions aimed at reducing high blood pressure still encompass a number of difficulties and limitations. This is the case particularly in resistant hypertension, i.e. a condition characterized by a very high cardiovascular risk. Carotid baroreceptor stimulation and renal sympathetic nerves ablation represent new approaches in the treatment of this condition. This paper will provide a comparison of the effects of the two procedures, highlighting their effects on blood pressure, metabolic profile, target organ damage, safety and tolerability profile.
引用
收藏
页码:567 / 572
页数:6
相关论文
共 50 条
  • [21] Role of arterial baroreceptor in circadian rhythm of renal sympathetic nerve activity in rats
    Amino, Yuka
    Saito, Megumi
    Yosimoto, Misa
    Miki, Kenju
    NEUROSCIENCE RESEARCH, 2007, 58 : S167 - S167
  • [22] Baroreceptor sensitivity and baroreflex control of renal sympathetic nerve activin in mice.
    Ma, XY
    Abboud, FM
    Chapleau, MW
    JOURNAL OF INVESTIGATIVE MEDICINE, 1998, 46 (03) : 200A - 200A
  • [24] MODULATION OF CAROTID-SINUS BARORECEPTOR REFLEX BY SCIATIC-NERVE STIMULATION
    KUMADA, M
    NOGAMI, K
    SAGAWA, K
    AMERICAN JOURNAL OF PHYSIOLOGY, 1975, 228 (05): : 1535 - 1541
  • [25] RENAL NERVE STIMULATION IDENTIFIES AORTICORENAL INNERVATION AND PREVENTS INADVERTENT ABLATION OF PARASYMPATHETIC NERVES DURING RENAL SYMPATHETIC DENERVATION
    De Jong, M. R.
    Hoogerwaard, A. F.
    Adiyaman, A.
    Smit, J. J. J.
    Heeg, J. J.
    Van Hasselt, B. A. A. M.
    Misier, A. R. Ramdat
    Elvan, A.
    JOURNAL OF HYPERTENSION, 2017, 35 : E263 - E263
  • [26] Renal nerve stimulation identifies aorticorenal innervation and prevents inadvertent ablation of parasympathetic nerves during renal sympathetic denervation
    De Jong, M. R.
    Hoogerwaard, A. F.
    Adiyaman, A.
    Smit, J. J. J.
    Heeg, J. E.
    Van Hasselt, B. A. A. M.
    Misier, A. R. Ramdat
    Elvan, A.
    EUROPEAN HEART JOURNAL, 2017, 38 : 1239 - 1239
  • [27] Renal sympathetic: Nerve activity after dexmedetomidine in nerve-intact and baroreceptor-denervated rabbits
    Oku, S
    Benson, KT
    Hirakawa, M
    Goto, H
    ANESTHESIA AND ANALGESIA, 1996, 83 (03): : 477 - 481
  • [28] Contrasting effects of carotid baroreceptor stimulation on regional sympathetic drive in chronic human heart failure
    Dell'Oro, Raffaella
    Quarti-Trevano, Fosca
    Gronda, Edoardo
    Grassi, Guido
    CLINICAL RESEARCH IN CARDIOLOGY, 2024, 113 (09) : 1369 - 1372
  • [29] Renal Nerve Stimulation as Procedural End Point for Renal Sympathetic Denervation
    Annemiek F. Hoogerwaard
    Mark R. de Jong
    Arif Elvan
    Current Hypertension Reports, 2018, 20
  • [30] Renal nerve stimulation: complete versus incomplete renal sympathetic denervation
    Hoogerwaard, Annemiek F.
    Adiyaman, Ahmet
    de Jong, Mark R.
    Smit, Jaap-Jan J.
    Heeg, Jan-Evert
    van Hasselt, Boudewijn A. A. M.
    Elvan, Arif
    BLOOD PRESSURE, 2021, 30 (06) : 376 - 385