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January 1, 2015World Journal of HypertensionOpen Access

Renal artery denervation did not significantly reduce systolic blood pressure at 6 months compared with a sham control in patients with resistant hypertension (-14 ± 24 vs -12 ± 26 mmHg).

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Why the study?

Does renal artery denervation reduce systolic blood pressure in patients with resistant hypertension?

Population

Patients with resistant hypertension

Comparison

Renal artery denervation vs Sham control

Design

Review

Follow-up

6 months

Key result

Renal artery denervation did not significantly reduce systolic blood pressure at 6 months compared with a sham control in patients with resistant hypertension (-14 ± 24 vs -12 ± 26 mmHg).

Authors

BSBenjamin J. Scherlag

Discussion

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Overview

Renal denervation should not yet alter resistant hypertension management; leaves open refined patient selection and technique optimization for future trials.

Structured PICO

Does renal artery denervation reduce systolic blood pressure in patients with resistant hypertension?

P
Population
Patients with resistant hypertension followed for 6 months to assess blood pressure reduction.
I
Intervention
Renal artery denervation
C
Comparator
Sham control
O
Outcome
Reduction of systolic blood pressure at 6 monthssurrogate

Main Result

Absolute Event Rate: -14% vs -12%

The review explores potential basic and clinical factors that may explain the failure of the Symplicity-3HTN trial to show efficacy for renal artery denervation in resistant hypertension.

Cite This Study

Benjamin J. Scherlag (2015) conducted a review in resistant hypertension. renal artery denervation vs. sham control was evaluated on reduction of systolic blood pressure. Renal artery denervation did not significantly reduce systolic blood pressure at 6 months compared with a sham control in patients with resistant hypertension (-14 ± 24 vs -12 ± 26 mmHg).

synapsesocial.com/papers/6a75d4c4fbccc8f4fd162613https://doi.org/10.5494/wjh.v5.i2.74
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The complexity after simplicity: How to proceed with renal denervation in hypertension?2014 · 7 citations
  2. 2Renal Denervation After Symplicity HTN-3 – Back to Basics. Review of the Evidence2014 · 4 citations
  3. 3Renal Denervation: Past, Present, and Future2016 · 3 citations
  4. 4Renal Denervation after Symplicity HTN-3: An Update2014 · 35 citations
  5. 5New data, new studies, new hopes for renal denervation in patients with uncontrolled hypertension2019