Novel Antihypertensive Therapies: Renal Sympathetic Nerve Ablation and Carotid Baroreceptor Stimulation

被引:7
作者
Grassi, Guido [1 ,2 ,3 ]
Seravalle, Gino [2 ]
Brambilla, Gianmaria [2 ]
Bombelli, Michele [2 ]
Dell'Oro, Raffaella [2 ]
Gronda, Edoardo [3 ]
Mancia, Giuseppe [2 ]
机构
[1] Univ Milano Bicocca, San Gerardo Hosp, Med Clin, I-20052 Monza, MI, Italy
[2] Univ Milano Bicocca, Dept Clin Med & Prevent, Med Clin, I-20052 Monza, MI, Italy
[3] Ist Ric & Cura Carattere Sci Multimed, Milan, Italy
关键词
Hypertension; Blood pressure; Resistant hypertension; Interventions; Renal denervation; Carotid baroreceptor stimulation; End-organ damage; Insulin; Side effects; BAROREFLEX ACTIVATION THERAPY; RESISTANT HYPERTENSION; BLOOD-PRESSURE; DOUBLE-BLIND; DENERVATION; SPIRONOLACTONE;
D O I
10.1007/s11906-012-0312-5
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Therapeutic interventions aimed at reducing high blood pressure still encompass a number of difficulties and limitations. This is the case particularly in resistant hypertension, i.e. a condition characterized by a very high cardiovascular risk. Carotid baroreceptor stimulation and renal sympathetic nerves ablation represent new approaches in the treatment of this condition. This paper will provide a comparison of the effects of the two procedures, highlighting their effects on blood pressure, metabolic profile, target organ damage, safety and tolerability profile.
引用
收藏
页码:567 / 572
页数:6
相关论文
共 28 条
[1]   Baroreflex Activation Therapy Lowers Blood Pressure in Patients With Resistant Hypertension Results From the Double-Blind, Randomized, Placebo-Controlled Rheos Pivotal Trial [J].
Bisognano, John D. ;
Bakris, George ;
Nadim, Mitra K. ;
Sanchez, Luis ;
Kroon, Abraham A. ;
Schafer, Jill ;
de Leeuw, Peter W. ;
Sica, Domenic A. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2011, 58 (07) :765-773
[2]   Improved Cardiac Structure and Function With Chronic Treatment Using an Implantable Device in Resistant Hypertension Results From European and United States Trials of the Rheos System [J].
Bisognano, John D. ;
Kaufman, Christopher L. ;
Bach, David S. ;
Lovett, Eric G. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2011, 57 (17) :1787-1788
[3]   Renal Sympathetic Denervation Reduces Left Ventricular Hypertrophy and Improves Cardiac Function in Patients With Resistant Hypertension [J].
Brandt, Mathias C. ;
Mahfoud, Felix ;
Reda, Sara ;
Schirmer, Stephan H. ;
Erdmann, Erland ;
Boehm, Michael ;
Hoppe, Uta C. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2012, 59 (10) :901-909
[4]   Resistant hypertension: Diagnosis, evaluation, and treatment - A Scientific Statement from the American Heart Association Professional Education Committee of the Council for High Blood Pressure Research [J].
Calhoun, David A. ;
Jones, Daniel ;
Textor, Stephen ;
Goff, David C. ;
Murphy, Timothy P. ;
Toto, Robert D. ;
White, Anthony ;
Cushman, William C. ;
White, William ;
Sica, Domenic ;
Ferdinand, Keith ;
Giles, Thomas D. ;
Falkner, Bonita ;
Carey, Robert M. .
HYPERTENSION, 2008, 51 (06) :1403-1419
[5]   Effect of doxazosin gastrointestinal therapeutic system as third-line antihypertensive therapy on blood pressure and lipids in the Anglo-Scandinavian Cardiac Outcomes Trial [J].
Chapman, Neil ;
Chang, Choon Lan ;
Dahlof, Bjorn ;
Sever, Peter S. ;
Wedel, Hans ;
Poulter, Neil R. .
CIRCULATION, 2008, 118 (01) :42-48
[6]   Better compliance to antihypertensive medications reduces cardiovascular risk [J].
Corrao, Giovanni ;
Parodi, Andrea ;
Nicotra, Federica ;
Zambon, Antonella ;
Merlino, Luca ;
Cesana, Giancarlo ;
Mancia, Giuseppe .
JOURNAL OF HYPERTENSION, 2011, 29 (03) :610-618
[7]   High prevalence of cardiac and extracardiac target organ damage in refractory hypertension [J].
Cuspidi, C ;
Macca, G ;
Sampieri, L ;
Michev, I ;
Salerno, M ;
Fusi, V ;
Severgnini, B ;
Meani, S ;
Magrini, F ;
Zanchetti, A .
JOURNAL OF HYPERTENSION, 2001, 19 (11) :2063-2070
[8]   Renal sympathetic denervation in patients with treatment-resistant hypertension (The Symplicity HTN-2 Trial): a randomised controlled trial [J].
Esler, Murray D. ;
Krum, Henry ;
Sobotka, Paul A. ;
Schlaich, Markus P. ;
Schmieder, Roland E. ;
Boehm, Michael ;
Mahfoud, Felix ;
Sievert, Horst ;
Wunderlich, Nina ;
Rump, Lars Christian ;
Vonend, Oliver ;
Uder, Michael ;
Lobo, Mel ;
Caulfield, Mark ;
Erglis, Andrejs ;
Azizi, Michel ;
Sapoval, Marc ;
Thambar, Suku ;
Persu, Alexandre ;
Renkin, Jean ;
Schunkert, Heribert ;
Weil, Joachim ;
Hoppe, Uta C. ;
Walton, Tony ;
Scheinert, Dierk ;
Binder, Thomas ;
Januszewicz, Andrzej ;
Witkowski, Adam ;
Ruilope, Luis M. ;
Whitbourn, Robert ;
Bruck, Heike ;
Downes, Mark ;
Luescher, Thomas F. ;
Jardine, Alan G. ;
Webster, Mark W. ;
Zeller, Thomas ;
Sadowski, Jerzy ;
Bartus, Krzysztof ;
Straley, Craig A. ;
Barman, Neil C. ;
Lee, David P. ;
Witteles, Ronald M. ;
Bhalla, Vivek ;
Massaro, Joseph M. .
LANCET, 2010, 376 (9756) :1903-1909
[9]   Blood Pressure Control and Antihypertensive Treatment [J].
Grassi, Guido ;
Seravalle, Gino ;
Trevano, Fosca Quarti ;
Dell'Oro, Raffaella ;
Mancia, Giuseppe .
CURRENT VASCULAR PHARMACOLOGY, 2012, 10 (04) :506-511
[10]   Sympathetic Neural Activity in Hypertension and Related Diseases [J].
Grassi, Guido .
AMERICAN JOURNAL OF HYPERTENSION, 2010, 23 (10) :1052-1060