[1]封欣妤 张冬颖 邹玉宝 冯颖青 程康.如何选择去肾神经术治疗高血压的最适宜人群[J].心血管病学进展,2024,(10):885.[doi:10.16806/j.cnki.issn.1004-3934.2024.10.005]
 FENG Xinyu,ZHANG Dongying,ZOU Yubao,et al.How to Select the Optimal Population for Renal Denervation in the Treatment of Hypertension[J].Advances in Cardiovascular Diseases,2024,(10):885.[doi:10.16806/j.cnki.issn.1004-3934.2024.10.005]
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如何选择去肾神经术治疗高血压的最适宜人群()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2024年10期
页码:
885
栏目:
约稿
出版日期:
2024-10-25

文章信息/Info

Title:
How to Select the Optimal Population for Renal Denervation in the Treatment of Hypertension
作者:
封欣妤1 张冬颖 2 邹玉宝 3 冯颖青 4 程康 1
(1.西安市人民医院(西安市第四医院)
Author(s):
FENG Xinyu1ZHANG Dongying2ZOU Yubao3FENG Yingqing4CHENG Kang1
(1.Xian Peoples Hospital (Xian Fourth Hospital)Xian 710199ShaanxiChina2.The First Affiliated Hospital of Chongqing Medical UniversityChongqing 400042China3.Fuwai Hospital,National Center for Cardiovascular DiseasesChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100000China4.Guangdong Provincial Peoples HospitalGuangzhou 510080GuangdongChina)
关键词:
高血压去肾神经术适应证禁忌证
Keywords:
Hypertension Renal denervation Indication Contraindication
DOI:
10.16806/j.cnki.issn.1004-3934.2024.10.005
摘要:
去肾神经术(RDN)的研发经历了异常曲折的历程,虽然选择肾交感神经兴奋性高的高血压患者施行RDN有客观的理论基础,但是目前缺乏评价患者肾交感神经兴奋性与高血压关联程度的特异性筛选指标。同时既往研究入选的患者纷繁庞杂,报道的结果也不一致,带来了诸多困惑。现汇总国际指南/共识/科学声明推荐RDN的适合及建议排除人群,阐述目前推荐RDN适宜人群的筛选方法,期待更多的临床数据进一步明晰RDN的适应证,提高降压疗效。
Abstract:
The development of renal denervation (RDN) has experienced an unusually tortuous process. Although there are some objective theoretical basis for selecting hypertensive patients with high renal sympathetic nerve excitability for RDN surgery ,there is no specific screening index to evaluate the correlation between renal sympathetic excitability and hypertension. At the same time,the patients enrolled in previous studies were numerous and varied,and the reported results were inconsistent,which brought us a lot of confusion. This paper summarized the suitable and excluded groups recommended by international guidelines /consensus/scientific statements for RDN,described the current screening methods for suitable groups recommended for RDN,and looked forward to getting more clinical data to clarify the indication of RDN and improve the antihypertensive efficacy

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