基于导管的动脉缩:事实和预期
Paolo Verdecchia1, Claudio Cavallini1, Rocco Sclafani1
1Division of Cardiology, Hospital S. Maria della Misericordia, Perugia, Italy.
European journal of internal medicine
|August 6, 2023
概括
现在ESH指导方针建议使用导管式脏动脉消血 (RAD). 最近的试验表明,RAD在未经治疗和耐药高血压患者中有效降低血压,没有显著的安全问题.
科学领域:
- 心血管医学 心血管医学
- 干预心脏病学 干预心脏病学
- 高血压管理 高血压管理
背景情况:
- 自SYMPLICITY-HTN 3试验以来,以导管为基础的动脉缩 (RAD) 已经显著发展.
- 最近的进展导致了SHAM控制的随机试验的有希望的结果.
- 2023年欧洲高血压学会 (ESH) 准则现在建议RAD (II类,证据水平B).
结论:
- 导管式RAD作为未经治疗的高血压和难以控制的耐药高血压的第一线治疗有效.
- 该程序显示了有利的安全概况.
- 在交感神经系统过度活跃的条件下,如心房动,RAD可能是有益的.
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