Renal denervation with a resistant arterial hypertension: the results of a five-year follow-up

被引:1
|
作者
Glybochko, P., V [1 ]
Svetankova, A. A. [1 ]
Rodionov, A., V [1 ]
Maltseva, A. S. [1 ]
Sulimov, V. A. [1 ]
Fomin, V. V. [1 ]
机构
[1] IM Sechenov First Moscow State Med Univ, Sechenov Univ, Fac Med,Fed State Autonomous Educ Inst Higher Pro, Dept Fac Therapy 1,Sci Res Inst Human Morphol & R, Moscow, Russia
来源
TERAPEVTICHESKII ARKHIV | 2018年 / 90卷 / 09期
关键词
arterial hypertension; resistant arterial hypertension; renal denervation;
D O I
10.26442/terarkh201890988-91
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Aim. To evaluate the 5-year results of renal denervation (RDN) in patients with resistant arterial hypertension (AH). Materials and methods. The study included 14 patients to whom, during the 2011-2013 period RDN has been completed. Before and after the intervention, office blood pressure, quality of life indicators according to the EQ-5D questionnaire, mass index bodies, indicators of kidney function were duly assessed. Results. Five years after RDN, office BP decreased from 165/110 to 139/95 mm Hg. Art. (p<0.05), with the average number of of drugs decreased from 4.6 to 3.1. 12 months after the RDA, the quality of Life, based on the questionnaire EQ-5D has increased from 60 to 80 points, by the fifth year the indicator fell to 74 points. Body mass index during 5 years decreased from 33.8 +/- 3.5 to 30.9 +/- 3.0 kg/m(2). Mean plasma creatinine initially and after 5 years remained within the normal range, the mean the GFR score after 5 years being decreased by 9.5 ml/min/1.73 m(2). Conclusion. RDN can be regarded as effective and safe method of additional treatment of patients with resistant hypertension.
引用
收藏
页码:88 / 90
页数:3
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