Is successful renal denervation a function of adherence to antihypertensive medication?
(A Hot off the Press report from the June 2017 issue of ISH Hypertension News)
Some 10–15% of all patients attending primary health care with a recorded diagnosis of hypertension and treated with three or more antihypertensive drug classes have uncontrolled hypertension with 140/90 mm Hg or above (often described as treatment resistant or refractory hypertension), despite being adherent to prescribed antihypertensive medication . Some of these patients may have unrecognized secondary causes of hypertension. However, with the recent introduction of catheter based sympathetic renal nerve denervation as a possible alternative method for the treatment of resistant hypertension it has become clear that many patients with apparent resistant hypertension are poorly adherent to antihypertensive drug therapy . Thus, medication adherence may be an important contributor to the reported highly variable response to renal denervation therapy.
ISH Hypertension News is available online @ http://ish-world.com/news/a/hypertensionnews/, ISSN: 2520-2782
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