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Published on: February 14, 2021
Baroreflex stimulation for treating resistant hypertension: ready for the prime-time?
Davide Bolignano1, Giuseppe Coppolino2
1CNR-Institute of Clinical Physiology, Reggio Calabria, 89124, Italy.
Device-based therapies like baroreflex activation therapy (BAT) and endovascular baroreflex amplification (EBA) show promise for managing resistant hypertension. These methods stimulate the carotid baroreflex to improve blood pressure control with few side effects.
Area of Science:
- Cardiology
- Medical Devices
- Hypertension Management
Background:
- Resistant hypertension poses a significant clinical challenge, necessitating novel therapeutic strategies.
- Current management often involves complex multi-drug regimens with limited efficacy for some patients.
Purpose of the Study:
- To review and synthesize evidence on baroreflex activation therapy (BAT) and endovascular baroreflex amplification (EBA) for resistant hypertension.
- To provide an overview of device-based therapies targeting the carotid baroreflex.
Main Methods:
- Systematic review and evidence synthesis of studies on BAT and EBA.
- Analysis of mechanisms involving carotid baroreflex stimulation to modulate autonomic activity.
Main Results:
- Accruing evidence suggests BAT and EBA can improve blood pressure control in resistant hypertension.
- These therapies may reduce the need for antihypertensive medications.
- Reported side effects are generally minimal.
Conclusions:
- Device-based baroreflex stimulation offers a potential alternative for managing resistant hypertension.
- Further data from ongoing randomized controlled trials are needed to establish long-term efficacy and safety.
- Invasive baroreflex therapies require careful consideration for clinical practice.
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