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[A (too) successful renal denervation]

F Huet1, H Vernhet2, F Roubille1

  • 1Département de cardiologie, centre hospitalier universitaire de Montpellier, 34295 Montpellier cedex 5, France; Inserm U1046, CNRS UMR 9214, PhyMedExp, université de Montpellier, 34295 Montpellier cedex 5, France.

Annales De Cardiologie Et D'Angeiologie
|October 7, 2018
PubMed

Insights

A type-2 myocardial infarction occurred immediately after renal denervation. This event was linked to low blood pressure and revealed significant right coronary artery stenosis.

Area of Science:

  • Cardiology
  • Nephrology
  • Interventional Cardiology

Background:

  • Renal denervation is a procedure used to treat resistant hypertension.
  • Understanding potential cardiovascular complications following renal denervation is crucial.

Observation:

  • A patient developed a type-2 myocardial infarction immediately after undergoing renal denervation.
  • The patient was monitored for underlying coronary artery disease.

Findings:

  • The myocardial infarction was attributed to hypotension (low blood pressure).
  • Diagnostic evaluation revealed a sub-occlusive stenosis in the right coronary artery.

Implications:

  • This case highlights a potential adverse event following renal denervation.
  • It underscores the importance of careful patient selection and monitoring for coronary artery disease in patients undergoing renal denervation.

Keywords:
Angioplastie coronaireCoronary angioplastyDénervation rénaleHypertension artérielle résistanteHypotensionIatrogenicIatrogénieInfarctus du myocardeLow blood pressureMyocardial infarctionRenal denervationResistant hypertension

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