Device-Based Therapy for Resistant Hypertension: An Up‐to‐Date Review

Abstract Hypertension is the major risk factor for cardiovascular morbidity and mortality. Matter of fact, untreated hypertension can worsen the overall health, whereas pharmacotherapy can play an important role in lowering the risk of high blood pressure in hypertensive patients. However, persistent uncontrolled hypertension remains an unsolved condition characterized by non-adherence to medication and increased sympathetic activity. This paper will review the non-pharmacological treatments for resistant hypertension (RH) that have emerged in recent years. In addition, the technologies developed in device-based RH therapy, as well as the clinical trials that support their use, will be discussed. Indeed, the novel device-based approaches that target RH present a promising therapy which has been supported by several studies and clinical trials, whereas drug non-adherence and high sympathetic activity are known to be the main causes of RH. Nevertheless, some additional aspects of these RH systems need to be tested in the near future, with a particular focus on the device’s design and availability of randomized controlled trials..

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:29

Enthalten in:

High blood pressure & cardiovascular prevention - 29(2022), 6 vom: 30. Sept., Seite 537-546

Sprache:

Englisch

Beteiligte Personen:

Jami, Oussama [VerfasserIn]
Tijani, Youssef [VerfasserIn]
Et-tahir, Aziz [VerfasserIn]

Links:

Volltext [lizenzpflichtig]

Themen:

Clinical trials
Device-based therapy
Non-invasiveness
Resistant hypertension
Sympathetic nerve activity

Anmerkungen:

© Italian Society of Hypertension 2022. Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

doi:

10.1007/s40292-022-00539-0

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC2132914192