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Effects of renal denervation on vascular remodelling in patients with heart failure and preserved ejection fraction: A randomised control trial.
- Source :
-
JRSM cardiovascular disease [JRSM Cardiovasc Dis] 2017 Jan 01; Vol. 6, pp. 2048004017690988. Date of Electronic Publication: 2017 Jan 01 (Print Publication: 2017). - Publication Year :
- 2017
-
Abstract
- Objective: To assess the effect of renal denervation (RDT) on micro- and macro-vascular function in patients with heart failure with preserved ejection fraction (HFpEF).<br />Design: A prospective, randomised, open-controlled trial with blinded end-point analysis.<br />Setting: A single-centre London teaching hospital.<br />Participants: Twenty-five patients with HFpEF who were recruited into the RDT-PEF trial.<br />Main Outcome Measures: Macro-vascular: 24-h ambulatory pulse pressure, aorta distensibilty (from cardiac magnetic resonance imaging (CMR), aorta pulse wave velocity (CMR), augmentation index (peripheral tonometry) and renal artery blood flow indices (renal MR). Micro-vascular: endothelial function (peripheral tonometry) and urine microalbuminuria.<br />Results: At baseline, 15 patients were normotensive, 9 were hypertensive and 1 was hypotensive. RDT did not lower any of the blood pressure indices. Though there was evidence of abnormal vascular function at rest, RDT did not affect these at 3 or 12 months follow-up.<br />Conclusions: RDT did not improve markers of macro- and micro-vascular function.
Details
- Language :
- English
- ISSN :
- 2048-0040
- Volume :
- 6
- Database :
- MEDLINE
- Journal :
- JRSM cardiovascular disease
- Publication Type :
- Academic Journal
- Accession number :
- 28228942
- Full Text :
- https://doi.org/10.1177/2048004017690988