Renal denervation (RDN) is a therapeutic strategy for patients with uncontrolled arterial hypertension characterized by considerable fluctuations during its progression. After initial strong enthusiasm, the procedure came to an abrupt halt following the publication of the Symplicity HTN-3 study results. The results of recently published studies highlight the reduction in blood pressure values after RDN and justify the inclusion in the Guidelines of new recommendations for the use of RDN in clinical practice, in selected patients. Additionally, RDN findings are summarized in view of other potential indications such as atrial fibrillation. Six prospective, randomized studies are presented that evaluated RDN as an adjunct therapy to pulmonary vein isolation for the treatment of atrial fibrillation. In five studies, patients had uncontrolled hypertension despite therapy with three antihypertensive drugs. The analysis of these studies showed that RDN reduced the recurrence of atrial fibrillation (AF) by 57% compared to patients with pulmonary vein isolation (PVI) only. Modulation of the autonomic nervous system by RDN has been shown not only to reduce blood pressure but also to have an antiarrhythmic effect in symptomatic AF patients when the strategy is combined with PVI, thus opening up new therapeutic scenarios.

Renal arteries denervation: from the treatment of resistant hypertension to the treatment of atrial fibrillation / Versaci, Francesco; Sciarretta, Sebastiano; Scappaticci, Massimiliano; Di Pietro, Riccardo; Calcagno, Simone; Del Prete, Armando; Gaspardone, Carlo; Biondi Zoccai, Giuseppe. - In: EUROPEAN HEART JOURNAL SUPPLEMENTS. - ISSN 1554-2815. - 23:Suppl E(2021). [10.1093/eurheartj/suab117]

Renal arteries denervation: from the treatment of resistant hypertension to the treatment of atrial fibrillation

Sciarretta, Sebastiano;Scappaticci, Massimiliano;Di Pietro, Riccardo;Calcagno, Simone;Gaspardone, Carlo;Biondi Zoccai, Giuseppe
2021

Abstract

Renal denervation (RDN) is a therapeutic strategy for patients with uncontrolled arterial hypertension characterized by considerable fluctuations during its progression. After initial strong enthusiasm, the procedure came to an abrupt halt following the publication of the Symplicity HTN-3 study results. The results of recently published studies highlight the reduction in blood pressure values after RDN and justify the inclusion in the Guidelines of new recommendations for the use of RDN in clinical practice, in selected patients. Additionally, RDN findings are summarized in view of other potential indications such as atrial fibrillation. Six prospective, randomized studies are presented that evaluated RDN as an adjunct therapy to pulmonary vein isolation for the treatment of atrial fibrillation. In five studies, patients had uncontrolled hypertension despite therapy with three antihypertensive drugs. The analysis of these studies showed that RDN reduced the recurrence of atrial fibrillation (AF) by 57% compared to patients with pulmonary vein isolation (PVI) only. Modulation of the autonomic nervous system by RDN has been shown not only to reduce blood pressure but also to have an antiarrhythmic effect in symptomatic AF patients when the strategy is combined with PVI, thus opening up new therapeutic scenarios.
2021
Arterial hypertension; Atrial fibrillation; Renal denervation; Sympathetic system
01 Pubblicazione su rivista::01a Articolo in rivista
Renal arteries denervation: from the treatment of resistant hypertension to the treatment of atrial fibrillation / Versaci, Francesco; Sciarretta, Sebastiano; Scappaticci, Massimiliano; Di Pietro, Riccardo; Calcagno, Simone; Del Prete, Armando; Gaspardone, Carlo; Biondi Zoccai, Giuseppe. - In: EUROPEAN HEART JOURNAL SUPPLEMENTS. - ISSN 1554-2815. - 23:Suppl E(2021). [10.1093/eurheartj/suab117]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1719753
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