Article
Peripheral Vascular Disease
Philippe Gosse, Antoine Cremer, Ajay J. Kirtane, Melvin D. Lobo, Manish Saxena, Joost Daemen, Yale Wang, Johannes Stegbauer, Michael A. Weber, Josephine Abraham, Kazuomi Kario, Sripal Bangalore, Lisa Claude, Yuyin Liu, Michel Azizi
Summary: The study found that baseline nighttime systolic blood pressure and its variability can predict the blood pressure response to renal denervation in patients with hypertension, which is helpful in identifying potential responders.
Review
Medicine, General & Internal
Fabio Angeli, Gianpaolo Reboldi, Francesco Giuseppe Solano, Antonietta Prosciutto, Antonella Paolini, Martina Zappa, Claudia Bartolini, Andrea Santucci, Stefano Coiro, Paolo Verdecchia
Summary: Several outcome-based prospective investigations have shown the prognostic value of 24-hour ambulatory blood pressure monitoring in cardiovascular risk stratification. Average 24-hour, daytime, and nighttime blood pressures are essential components that improve risk assessment beyond traditional factors. However, the interpretation and clinical use of ambulatory blood pressure monitoring need standardization, and implementing its results in individual patient management remains challenging.
Review
Medicine, General & Internal
Yibang Cheng, Yan Li, Jiguang Wang
Summary: Ambulatory blood pressure monitoring is crucial in the management of hypertension, as it aids in accurate diagnosis and cardiovascular risk assessment.
CHINESE MEDICAL JOURNAL
(2022)
Article
Peripheral Vascular Disease
Reetu R. Singh, Zoe McArdle, Lindsea C. Booth, Clive N. May, Geoff A. Head, Karen M. Moritz, Markus P. Schlaich, Kate M. Denton
Summary: Patients with hypertension and chronic kidney disease who undergo renal denervation may have impaired hemodynamic responses to blood loss if they continue taking antihypertensive medication. Therefore, closer monitoring is necessary during surgery or traumatic blood loss in these patients to minimize the risk of hypotension-mediated organ damage.
Article
Medicine, Research & Experimental
Hang Liu, Yidan Li, Hao Zhou, Weijie Chen, Yanping Xu, Huaan Du, Bo Zhang, Tianli Xia, Dan Li, Zhenhong Ou, Ruotian Tang, Qingsong Chen, Binyi Zhao, Yuehui Yin
Summary: This study explores the characteristics of renal autonomic innervation at different blood pressure response sites and finds that renal nerve stimulation is an effective method for identifying renal autonomic innervation. It can help determine the optimal treatment target during renal denervation by avoiding ablation of sympathetic-inhibitory areas.
JOURNAL OF TRANSLATIONAL MEDICINE
(2023)
Article
Peripheral Vascular Disease
Reetu R. Singh, Zoe M. McArdle, Lindsea C. Booth, Clive N. May, Geoff A. Head, Karen M. Moritz, Markus P. Schlaich, Kate M. Denton
Summary: The study showed that renal denervation (RDN) in sheep with hypertensive chronic kidney disease normalized NO bioavailability and restored the contribution of NO to renal hemodynamics. This improvement in NO levels may promote enhancements in kidney function and sustained blood pressure lowering after RDN in hypertensive CKD.
Review
Peripheral Vascular Disease
Qi-Fang Huang, Wen-Yi Yang, Kei Asayama, Zhen-Yu Zhang, Lutgarde Thijs, Yan Li, Eoin O'Brien, Jan A. Staessen
Summary: Ambulatory blood pressure monitoring has become the preferred method for assessing blood pressure and rational use of antihypertensive drugs. Studies have shown a closer association of cardiovascular complications with 24-hour and nighttime blood pressure compared to office blood pressure. Different types of hypertension, such as white-coat hypertension and masked hypertension, can be identified through a combination of ambulatory and office blood pressure thresholds. The focus should be on the levels of 24-hour and nighttime blood pressure, as additional blood pressure indexes derived from 24-hour monitoring recordings do not significantly add to risk stratification or hypertension management.
Article
Transplantation
Roberto Minutolo, Francis B. Gabbai, Rajiv Agarwal, Carlo Garofalo, Silvio Borrelli, Paolo Chiodini, Simona Signoriello, Ernesto Paoletti, Maura Ravera, Vincenzo Bellizzi, Giuseppe Conte, Luca De Nicola
Summary: The study revealed that higher ambulatory blood pressure (ABP) levels significantly increase the risks of end-stage kidney disease (ESKD) and mortality in men with chronic kidney disease (CKD). However, maintaining blood pressure at target levels can reduce the risks of ESKD and death in male patients.
NEPHROLOGY DIALYSIS TRANSPLANTATION
(2021)
Article
Peripheral Vascular Disease
Revathy Carnagarin, Janis M. Nolde, Rebecca Lee, Leslie Marisol Lugo-Gavidia, Natalie C. Ward, Gavin W. Lambert, Elisabeth A. Lambert, Murray D. Esler, Antony Walton, Marcio Galindo Kiuchi, Markus P. Schlaich
Summary: This study investigated the effect of renal denervation (RDN) on salt sensitivity in hypertensive patients and found that RDN increased salt sensitivity, which may represent a compensatory mechanism of the kidneys to maintain adequate salt handling. This finding has important implications for patient management after RDN.
JOURNAL OF HYPERTENSION
(2022)
Article
Cardiac & Cardiovascular Systems
Giulia Rivasi, Antonella Groppelli, Michele Brignole, Davide Soranna, Antonella Zambon, Grzegorz Bilo, Martino Pengo, Bashaaer Sharad, Viktor Hamrefors, Martina Rafanelli, Giuseppe Dario Testa, Ciara Rice, Rose Anne Kenny, Richard Sutton, Andrea Ungar, Artur Fedorowski, Gianfranco Parati
Summary: This study found that patients with reflex syncope have a higher prevalence of systolic blood pressure drops during ambulatory blood pressure monitoring (ABPM). Cut-off values for these drops were defined, expanding the current indications for ABPM in patients with reflex syncope.
EUROPEAN HEART JOURNAL
(2022)
Article
Endocrinology & Metabolism
Leif Karlsson, Lena Wallensteen, Anna Nordenstrom, Rafael T. Krmar, Svetlana Lajic
Summary: This study analyzed ambulatory blood pressure measurements in children and adults who were treated with dexamethasone (DEX) prenatally. The results suggest that DEX treatment does not adversely affect blood pressure in individuals unaffected by congenital adrenal hyperplasia.
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM
(2022)
Article
Cardiac & Cardiovascular Systems
Alexander Vogt, Jochen Dutzmann, Michael Nussbaum, Daniel Hoyer, Joern Tongers, Axel Schlitt, Daniel Sedding, Alexander Plehn
Summary: In this study, long-term follow-up was conducted on patients who underwent renal sympathetic denervation therapy using radiofrequency. The results showed that renal sympathetic denervation can lead to long-term blood pressure reduction without negative effects on renal function.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2023)
Article
Peripheral Vascular Disease
Eline H. Groenland, Jean-Paul A. C. Vendeville, Remy H. H. Bemelmans, Houshang Monajemi, Michiel L. Bots, Frank L. J. Visseren, Wilko Spiering
Summary: This study evaluated the agreement between app-assisted home blood pressure monitoring and 24-hour ambulatory blood pressure monitoring, and found significant disagreement between the two methods. App-assisted home blood pressure monitoring had high sensitivity in diagnosing sustained and masked hypertension, and can be used as a complement to 24-hour ambulatory blood pressure monitoring.
Article
Peripheral Vascular Disease
Victor J. M. Zeijen, Alexander Hirsch, Michiel G. H. Betjes, Joost Daemen
Summary: Renal sympathetic denervation (RDN) is associated with a low risk of renal artery stenosis, most commonly occurring within the first year. Limited data on long-term incidence of stenosis is available. This case presents a 68-year-old woman who underwent RDN for resistant hypertension and experienced renal artery stenosis and reduced eGFR several years later. The causal relationship between RDN and stenosis cannot be confirmed nor ruled out, highlighting the need for long-term surveillance in RDN patients.
JOURNAL OF HYPERTENSION
(2023)
Article
Cardiac & Cardiovascular Systems
Michael Boehm, Konstantinos Tsioufis, David E. Kandzari, Kazuomi Kario, Michael A. Weber, Roland E. Schmieder, Raymond R. Townsend, Saarraaken Kulenthiran, Christian Ukena, Stuart Pocock, Sebastian Ewen, Joachim Weil, Martin Fahy, Felix Mahfoud
Summary: This analysis evaluated the impact of baseline heart rate on blood pressure reduction after renal denervation. The results showed a greater reduction in blood pressure at 3 months post renal denervation for patients with baseline heart rate >= 70 beats/min.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2021)
