European Society of Hypertension position paper on renal denervation 2018

Beitrag in einer Fachzeitschrift


Details zur Publikation

Autor(en): Schmieder R, Mahfoud F, Azizi M, Pathak A, Dimitriadis K, Kroon AA, Kroon AA, Ott C, Scalise F, Mancia G, Tsioufis C
Zeitschrift: Journal of Hypertension
Jahr der Veröffentlichung: 2018
ISSN: 0263-6352


Abstract

: This ESH update was deemed necessary with the publication of new results of sham-controlled randomized blinded prospective trials with renal denervation (RDN). Proof of concept studies and first randomized trials (some were sham-controlled) displayed discrepant results about the efficacy of RDN. Three sham-controlled randomized trials of the 2.0 generation yielded now similarity in the average blood pressure decrease following RDN. Reduction of ambulatory blood pressure was approximately 5 to 7 mmHg and of office blood pressure 10 mmHg. Such a decrease in blood pressure by pharmacologic therapy has been found to be associated with lower incidence of cardiovascular events in particular with respect to heart failure and stroke by roughly 25%. Nevertheless, some questions about renal denervation are unanswered. The heterogeneity of the blood pressure-lowering response point to the clinical need to identify predictors for efficacy, and questions on long-term safety could not have been answered due to the short duration of the sham-controlled randomized clinical trials.


FAU-Autoren / FAU-Herausgeber

Ott, Christian PD Dr.
Medizinische Fakultät
Schmieder, Roland Prof. Dr.
Professur für Innere Medizin (Nephrologie)


Autor(en) der externen Einrichtung(en)
Hippokrateion Hospital
Maastricht University
National and Kapodistrian University of Athens
Policlinico di Monza
Universität des Saarlandes (UdS)
Universität Paris Descartes / Université Paris 5 René Descartes
University of Milano-Bicocca / Università degli Studi di Milano-Bicocca, UNIMIB


Zitierweisen

APA:
Schmieder, R., Mahfoud, F., Azizi, M., Pathak, A., Dimitriadis, K., Kroon, A.A.,... Tsioufis, C. (2018). European Society of Hypertension position paper on renal denervation 2018. Journal of Hypertension. https://dx.doi.org/10.1097/HJH.0000000000001858

MLA:
Schmieder, Roland, et al. "European Society of Hypertension position paper on renal denervation 2018." Journal of Hypertension (2018).

BibTeX: 

Zuletzt aktualisiert 2019-08-01 um 08:53