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Updated: May 13, 2026

Improved Renal Denervation Mitigated Hypertension Induced by Angiotensin II Infusion
Published on: May 26, 2022
Renal sympathetic denervation for treating resistant hypertension
Alberto Polimeni1, Antonio Curcio, Ciro Indolfi
1Division of Cardiology, Laboratory of Molecular and Cellular Cardiology, Department of Medical and Surgical Sciences, Catanzaro, Italy.
Resistant hypertension, often unresponsive to medication, can be treated by reducing kidney nerve activity. Renal sympathetic denervation using catheter ablation offers a new therapeutic option for managing high blood pressure.
Area of Science:
- Cardiology
- Nephrology
- Vascular Biology
Background:
- Systemic hypertension is a major global health concern, leading to significant morbidity and mortality.
- Resistant hypertension, characterized by persistent high blood pressure despite medication, affects a substantial patient population.
- Renal sympathetic overactivity plays a key role in the pathophysiology of hypertension.
Purpose of the Study:
- To review the role of sympathetic activation in hypertension.
- To discuss transcatheter renal sympathetic denervation as a treatment for resistant hypertension.
- To explore future directions in hypertension management.
Main Methods:
- Review of existing literature on sympathetic nervous system and hypertension.
- Analysis of data on catheter-based renal sympathetic denervation procedures.
- Evaluation of clinical outcomes, including blood pressure reduction and biochemical markers.
Main Results:
- Renal sympathetic denervation effectively reduces renal norepinephrine spillover and renin activity.
- The procedure leads to increased renal plasma flow.
- Clinically significant and sustained blood pressure reductions were observed in patients with resistant hypertension.
Conclusions:
- Renal sympathetic denervation is a promising therapeutic strategy for resistant hypertension.
- Targeting renal sympathetic nerves offers a novel approach to managing systemic hypertension.
- Further research is needed to optimize targets for future hypertension management.
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