Denervación renal en el tratamiento de la hipertensión arterial. Posicionamiento conjunto de la SEH-LELHA y la ACI-SEC

Hypertension is the most prevalent cardiovascular risk factor. Despite pharmacological treatment, a high percentage of patients do not achieve an adequate blood pressure control. Renal sympathetic denervation is a minimally invasive intervention for the management of hypertension involving the inter...

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Detalles Bibliográficos
Autores: Rodríguez Leor, Oriol, Jaén Águila, Fernando, Segura, Julian, Núñez Gil, Iván, García Touchard, Arturo, Rubio, Esther, Troya, Maribel, Diego Mediavilla, Juan, Cequier, Ángel, Moreno, Raúl, Martell Claros, Nieves, Beltrán, Paola, Molina, Eduardo, García Donaire, José Antonio
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/193140
Acceso en línea:https://hdl.handle.net/2445/193140
Access Level:acceso abierto
Palabra clave:Hipertensió
Factors de risc en les malalties
Malalties cardiovasculars
Nefrologia
Hypertension
Risk factors in diseases
Cardiovascular diseases
Nephrology
Descripción
Sumario:Hypertension is the most prevalent cardiovascular risk factor. Despite pharmacological treatment, a high percentage of patients do not achieve an adequate blood pressure control. Renal sympathetic denervation is a minimally invasive intervention for the management of hypertension involving the interruption of the renal artery sympathetic nervous system using a catheter-based approach. The early studies showed promising results, but the controversial results coming from the SYMPLICITY HTN-3 trial sent this technique into oblivion. Over the last 3 years, new clinical trials have appeared including new devices used in different populations, which definitively proves the effectiveness of renal sympathetic denervation. This joint position statement from the Spanish Society of Hypertension-Spanish League for Combating High Blood Pressure (SEH-LELHA), and the Interventional Cardiology Association of the Spanish Society of Cardiology (ACI-SEC) reviews the evidence available on the efficacy and safety profile of renal sympathetic denervation for the management of hypertension. Based on the results of clinical trials, recommendations have been established on what patients may be eligible for renal sympathetic denervation and under what circumstances.

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