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November 18, 2015Journal of Hypertension

Predictors of response to renal denervation for resistant arterial hypertension

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Why the study?

What baseline variables predict response to renal denervation in patients with resistant arterial hypertension?

Population

Patients with resistant arterial hypertension (RAH) after exclusion of secondary causes

Design

Cohort

Follow-up

12 months

Key result

Renal denervation resulted in a response (≥5 mmHg 24h SBP drop) in 45.6% of patients with resistant hypertension at 6 months, with higher baseline SBP and more antihypertensive drugs predicting response.

Authors

MRMiklós RohlaANAlexander NahlerTLThomas Lambert

Discussion

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Overview

Baseline predictors may guide renal denervation selection in resistant hypertension; hypothesis-generating and requires randomized confirmation.

Study Design

Type

Observational

Structured PICO

What baseline variables predict response to renal denervation in patients with resistant arterial hypertension?

P
Population
Patients with resistant arterial hypertension (RAH) after exclusion of secondary causes
I
Intervention
Renal denervation (RDN)
O
Outcome
Response to RDN (defined as at least 5 mmHg 24 h SBP drop at 6 months)surrogate

Elevated baseline systolic blood pressure, BMI, and number of antihypertensive drugs predict a greater blood pressure reduction following renal denervation in resistant hypertension.

Limitations

  • Hawthorne effect
  • Regression to the mean phenomenon
  • Actual effect of sympathetic denervation
  • Interaction of therapy modification
  • Lack of a control arm
  • regression to the mean phenomenon
  • interaction of therapy modification
  • lack of a control arm

Cite This Study

Rohla et al. (2015) conducted an observational in Resistant arterial hypertension. Renal denervation (RDN) vs. None was evaluated on Response defined as at least 5 mmHg 24 h SBP drop at 6 months. Renal denervation resulted in a response (≥5 mmHg 24h SBP drop) in 45.6% of patients with resistant hypertension at 6 months, with higher baseline SBP and more antihypertensive drugs predicting response.

synapsesocial.com/papers/6a14a7156667a4fa718ef5aahttps://doi.org/10.1097/hjh.0000000000000764
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