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August 27, 2014ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam)

Defining extreme blood pressure response to renal denervation by office blood pressure rather than ambulatory blood pressure leads to a major overestimation of the response due to a white-coat effect.

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Why the study?

What are the baseline differences between extreme responders and nonresponders to renal denervation?

Population

109 patients who underwent renal denervation from the European Network COordinating research on Renal…

Comparison

Renal denervation (RDN) vs Nonresponders

Design

Cohort

Follow-up

6 months

Key result

Defining extreme blood pressure response to renal denervation by office blood pressure rather than ambulatory blood pressure leads to a major overestimation of the response due to a white-coat effect.

Authors

APAlexandre PersuMAMichel AziziYJYu Jin

Discussion

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Overview

Office BP overestimates RDN response via white-coat effect; leaves open whether baseline traits distinguish true ABPM-defined responders.

Study Design

Type

Observational (n=109)

Multicenter

Yes

Structured PICO

What are the baseline differences between extreme responders and nonresponders to renal denervation?

P
Population
109 patients from a European database who underwent renal denervation, analyzed as extreme responders versus nonresponders at 6 months.
E
Exposure
Renal denervation (RDN)
C
Comparator
Nonresponders (fifth quintile of blood pressure response)
O
Outcome
Blood pressure changes at 6 months and differences in baseline characteristicssurrogate

Defining response to renal denervation by office blood pressure overestimates the true effect due to a white-coat effect, highlighting the importance of ambulatory blood pressure monitoring.

Cite This Study

Persu et al. (2014) conducted an observational in Hypertension (post-renal denervation) (n=109). Extreme blood pressure response to renal denervation vs. Nonresponders was evaluated on Blood pressure changes 6 months after renal denervation. Defining extreme blood pressure response to renal denervation by office blood pressure rather than ambulatory blood pressure leads to a major overestimation of the response due to a white-coat effect.

synapsesocial.com/papers/6a77975d6789de8d0af74ed6https://doi.org/10.1097/hjh.0000000000000347
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