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Updated: May 10, 2026

Improved Renal Denervation Mitigated Hypertension Induced by Angiotensin II Infusion
Published on: May 26, 2022
Expanding the indication spectrum: renal denervation in diabetes
Felix Mahfoud1, Sebastian Ewen, Christian Ukena
1Klinik für Innere Medizin III, Kardiologie, Angiologie und Internistische Intensivmedizin, Universitätsklinikum des Saarlandes, Homburg/Saar, Germany. felix.mahfoud@uks.eu
Catheter-based renal denervation (RDN) may improve glucose control in patients with resistant hypertension. This approach targets renal sympathetic nerves, offering a potential new therapy for metabolic syndrome and diabetes.
Area of Science:
- Cardiovascular Medicine
- Metabolic Disorders
- Interventional Cardiology
Background:
- Resistant hypertension is linked to increased sympathetic nerve activity.
- Sympathetic overactivity contributes to cardiovascular diseases like diabetes and metabolic syndrome.
- Emerging evidence suggests renal denervation (RDN) may impact glucose metabolism.
Purpose of the Study:
- To review the potential of renal sympathetic nerve modulation for improving glycemic control.
- To explore RDN as a therapeutic strategy in patients with resistant hypertension and metabolic derangements.
Main Methods:
- Review of pilot studies and case reports on RDN in resistant hypertension.
- Analysis of the role of renal sympathetic nerves in cardiovascular and metabolic pathophysiology.
Main Results:
- Catheter-based RDN demonstrates potential for reducing blood pressure and sympathetic activity.
- Preliminary findings indicate beneficial effects of RDN on glucose metabolism in select patients.
- Targeting renal sympathetic nerves is a novel therapeutic avenue.
Conclusions:
- Renal denervation presents a promising therapeutic option for managing resistant hypertension.
- RDN may offer a new strategy to improve glycemic control in patients with comorbid diabetes or metabolic syndrome.
- Further research is warranted to establish RDN's efficacy in metabolic regulation.
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