Key result
New technologies such as carotid stimulation and renal denervation, and established approaches like low dietary salt and mineralocorticoid receptor blockers, effectively reduce blood pressure.
Why the study?
Do carotid stimulation, renal denervation, low dietary salt, and mineralocorticoid receptor blockers reduce blood pressure in patients with resistant hypertension?
Do carotid stimulation, renal denervation, low dietary salt, and mineralocorticoid receptor blockers reduce blood pressure in patients with resistant hypertension?
Both novel device-based therapies and established medical/lifestyle approaches effectively lower blood pressure in resistant hypertension.
Answers are grounded in this paper and cite their sources.
Expands therapeutic options for resistant hypertension; leaves open comparative efficacy trials.
Resistant hypertension, generally defined as blood pressure that remains above goal in spite of the use of three antihypertensive medications prescribed at optimal dose amounts, is an increasingly common medical problem, and patients with this condition are at high risk of cardiovascular events. Recent studies have shown that new technologies, such as carotid stimulation and renal denervation, and more established approaches, such as low dietary salt and mineralocorticoid receptor blockers, effectively reduce blood pressure in patients with resistant hypertension. In this article, we discuss the background, safety and effectiveness of these and other treatment approaches.
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Pimenta et al. (2011) conducted a review in Resistant hypertension. Carotid stimulation, renal denervation, low dietary salt, mineralocorticoid receptor blockers was evaluated. New technologies such as carotid stimulation and renal denervation, and established approaches like low dietary salt and mineralocorticoid receptor blockers, effectively reduce blood pressure.
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