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Differing Prognostic Value of Sleep-Time and Awake-Time Blood Pressure Means in Normotensive Individuals: The Hygia Project

Authors :
Alfonso Otero
Ramon C. Hermida
Lorenzo Pousa
Elvira Sineiro
Pedro A. Callejas
Diana E. Ayala
Ana Moyá
Artemio Mojón
Juan J. Crespo
Manuel Domínguez-Sardiña
Source :
Journal of the American Society of Hypertension. 9:e39
Publication Year :
2015
Publisher :
Elsevier BV, 2015.

Abstract

catheter was inserted (Simplicity Flex) inside the renal artery, allowing the delivery of radiofrequency energy to the renal artery innervation. Radiofrequency applications were performed within the main stem of the renal arteries, bilaterally, with a series of 6 applications, 60 s duration each. At the end of the procedure, renal arteriography was performed for evaluation of vascular integrity. Results: Data were obtained at baseline and monthly until 180th day of follow-up. Baseline values of blood pressure were 196/122 mmHg in the office, and 164/109 mmHg by 24h ABPM. The decreased of ABPM data was 47/38mmHg, achieving values of 117/71mmHg with 14 days after procedure (figure 1), with the same average at 180th day, reducing from 7 to 3 antihypertensive drugs in 6 months. The procedure was performed without complications. Conclusions: Renal sympathetic denervation using the irrigated radiofrequency ablation catheter was effective in a patient with resistant hypertension.

Details

ISSN :
19331711
Volume :
9
Database :
OpenAIRE
Journal :
Journal of the American Society of Hypertension
Accession number :
edsair.doi...........23868bc6131dd257664d9d998a8402c4
Full Text :
https://doi.org/10.1016/j.jash.2015.03.087