Aggressive renal sympathetic denervation approach to treating resistant hypertension: A fresh start?

A multivariable analysis identified predictors of systolic blood pressure change in SYMPLICITY HTN-3 trial. Additional analyses examined the influence of medication changes, results in selected subgroups and procedural factors. Greater reductions in office and ambulatory systolic blood pressure, and heart rate were observed with a higher number of ablations and energy delivery in a four-quadrant pattern. Based on this information, we selected a white patient with baseline office systolic blood pressure>180  mmHg, using aldosterone antagonist, non-using vasodilators, and performed an aggressive RSD approach.Male patient, 40 years old, white, referred by the attending physician to our service due to a complaint of dyspnea, dizziness, and headache.

Source: Artery Research - October 31, 2016 Category: Cardiology Authors: M árcio Galindo Kiuchi, Luis Marcelo Rodrigues Paz, Shaojie Chen Tags: Case presentation Source Type: research