International Society of Hypertension

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 [1]. 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 [2]. Thus, medication adherence may be an important contributor to the reported highly variable response to renal denervation therapy.

 

Click here for the full report by Thomas Kahan, Stockholm, Sweden 

 

To view the June 2017 issue of ISH Hypertension News, click here.

 

ISH Hypertension News is available online @ http://ish-world.com/news/a/hypertensionnews/, ISSN: 2520-2782

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