Device-Directed Therapy for Resistant Hypertension

Cardiol Clin. 2017 May;35(2):255-260. doi: 10.1016/j.ccl.2016.12.007. Epub 2017 Feb 1.

Abstract

Hypertension remains a significant risk factor for an array of diseases despite advancements in pharmacotherapy. Patients with resistant hypertension who do not respond to conventional medical treatments and lifestyle modifications are especially at risk for poor health outcomes. With the increasing awareness of resistant hypertension, ever-evolving research efforts continue to focus on innovative interventions, including renal denervation, median nerve stimulation, and baroreceptor activation therapy. This article reviews the current evidence and summarizes previous clinical trials for each of these interventions.

Keywords: Baroreceptor activation therapy; Median nerve stimulation; Renal denervation; Resistant hypertension.

Publication types

  • Review

MeSH terms

  • Blood Pressure / physiology*
  • Catheter Ablation / methods*
  • Electric Stimulation Therapy / methods*
  • Humans
  • Hypertension / physiopathology
  • Hypertension / therapy*
  • Kidney / innervation
  • Sympathectomy / methods*