Long-term quality of life and clinical outcomes in patients with resistant hypertension treated with renal denervation
Introduction: Pharmacological treatment combined with lifestyle modifications is an effective treatment for arterial hypertension. However, there are still patients who do not respond to standard treatments. Patients with pharmacologically resistant hypertension may benefit from renal denervation...
Main Authors: | , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Termedia Publishing House
2016-11-01
|
Series: | Advances in Interventional Cardiology |
Subjects: | |
Online Access: | https://www.termedia.pl/Long-term-quality-of-life-and-clinical-outcomes-in-patients-with-resistant-hypertension-treated-with-renal-denervation,35,28689,1,1.html |
id |
doaj-2012fdf15b3d4d4eb06f4c7a3b49f82b |
---|---|
record_format |
Article |
spelling |
doaj-2012fdf15b3d4d4eb06f4c7a3b49f82b2020-11-24T21:53:59ZengTermedia Publishing HouseAdvances in Interventional Cardiology1734-93381897-42952016-11-0112432933310.5114/aic.2016.6363328689Long-term quality of life and clinical outcomes in patients with resistant hypertension treated with renal denervationAgata Krawczyk-OżógTomasz TokarekKatarzyna MoczałaZbigniew SiudakArtur DziewierzWaldemar MieleckiTomasz GóreckiKarolina GerbaDariusz DudekIntroduction: Pharmacological treatment combined with lifestyle modifications is an effective treatment for arterial hypertension. However, there are still patients who do not respond to standard treatments. Patients with pharmacologically resistant hypertension may benefit from renal denervation (RDN). Aim: To assess long-term quality of life (QoL) after RDN and effectiveness in reduction of blood pressure (BP) in patients with resistant hypertension. Material and methods: From 2011 to 2014, 12 patients with previously diagnosed resistant hypertension, treated by RDN, were included in this study. The QoL was assessed using a standardized Polish version of the Nottingham Health Profile questionnaire (NHP). Results : The median age was 54 (IQR: 51–57.5) years. Mean baseline ambulatory pre-procedural systolic/diastolic BP was 188/115 ±29.7/18 mm Hg. The mean values of systolic/diastolic BP measured perioperatively and 3, 6, 12 and 24 months postoperatively were 138/86, 138/85, 146/82, 152/86, and 157/91. All p-values for mean systolic and diastolic BP before versus successive time points after RDN were statistically significant; p-value for all comparisons < 0.05. Improvement of QoL was only observed in two sections of the NHP questionnaire: emotional reaction and sleep disturbance. The analysis of the NHP index of Distress (NHP-D) showed a lower distress level perioperatively and 3, 6, 12 and 24 months after RDN as compared to baseline. The RDN was not associated with any significant adverse events. Conclusions : Patients with pharmacologically resistant hypertension treated with RDN achieved significant reduction in BP during 24-month follow-up. Furthermore, a significant improvement in the QoL was observed in those patients.https://www.termedia.pl/Long-term-quality-of-life-and-clinical-outcomes-in-patients-with-resistant-hypertension-treated-with-renal-denervation,35,28689,1,1.htmlresistant hypertension blood pressure quality of life catheter-based renal denervation |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Agata Krawczyk-Ożóg Tomasz Tokarek Katarzyna Moczała Zbigniew Siudak Artur Dziewierz Waldemar Mielecki Tomasz Górecki Karolina Gerba Dariusz Dudek |
spellingShingle |
Agata Krawczyk-Ożóg Tomasz Tokarek Katarzyna Moczała Zbigniew Siudak Artur Dziewierz Waldemar Mielecki Tomasz Górecki Karolina Gerba Dariusz Dudek Long-term quality of life and clinical outcomes in patients with resistant hypertension treated with renal denervation Advances in Interventional Cardiology resistant hypertension blood pressure quality of life catheter-based renal denervation |
author_facet |
Agata Krawczyk-Ożóg Tomasz Tokarek Katarzyna Moczała Zbigniew Siudak Artur Dziewierz Waldemar Mielecki Tomasz Górecki Karolina Gerba Dariusz Dudek |
author_sort |
Agata Krawczyk-Ożóg |
title |
Long-term quality of life and clinical outcomes in patients with resistant hypertension treated with renal denervation |
title_short |
Long-term quality of life and clinical outcomes in patients with resistant hypertension treated with renal denervation |
title_full |
Long-term quality of life and clinical outcomes in patients with resistant hypertension treated with renal denervation |
title_fullStr |
Long-term quality of life and clinical outcomes in patients with resistant hypertension treated with renal denervation |
title_full_unstemmed |
Long-term quality of life and clinical outcomes in patients with resistant hypertension treated with renal denervation |
title_sort |
long-term quality of life and clinical outcomes in patients with resistant hypertension treated with renal denervation |
publisher |
Termedia Publishing House |
series |
Advances in Interventional Cardiology |
issn |
1734-9338 1897-4295 |
publishDate |
2016-11-01 |
description |
Introduction: Pharmacological treatment combined with lifestyle modifications is an effective treatment for arterial hypertension. However, there are still patients who do not respond to standard treatments. Patients with pharmacologically resistant hypertension may benefit from renal denervation (RDN).
Aim: To assess long-term quality of life (QoL) after RDN and effectiveness in reduction of blood pressure (BP) in patients with resistant hypertension.
Material and methods: From 2011 to 2014, 12 patients with previously diagnosed resistant hypertension, treated by RDN, were included in this study. The QoL was assessed using a standardized Polish version of the Nottingham Health Profile questionnaire (NHP).
Results : The median age was 54 (IQR: 51–57.5) years. Mean baseline ambulatory pre-procedural systolic/diastolic BP was 188/115 ±29.7/18 mm Hg. The mean values of systolic/diastolic BP measured perioperatively and 3, 6, 12 and 24 months postoperatively were 138/86, 138/85, 146/82, 152/86, and 157/91. All p-values for mean systolic and diastolic BP before versus successive time points after RDN were statistically significant; p-value for all comparisons < 0.05. Improvement of QoL was only observed in two sections of the NHP questionnaire: emotional reaction and sleep disturbance. The analysis of the NHP index of Distress (NHP-D) showed a lower distress level perioperatively and 3, 6, 12 and 24 months after RDN as compared to baseline. The RDN was not associated with any significant adverse events.
Conclusions : Patients with pharmacologically resistant hypertension treated with RDN achieved significant reduction in BP during 24-month follow-up. Furthermore, a significant improvement in the QoL was observed in those patients. |
topic |
resistant hypertension blood pressure quality of life catheter-based renal denervation |
url |
https://www.termedia.pl/Long-term-quality-of-life-and-clinical-outcomes-in-patients-with-resistant-hypertension-treated-with-renal-denervation,35,28689,1,1.html |
work_keys_str_mv |
AT agatakrawczykozog longtermqualityoflifeandclinicaloutcomesinpatientswithresistanthypertensiontreatedwithrenaldenervation AT tomasztokarek longtermqualityoflifeandclinicaloutcomesinpatientswithresistanthypertensiontreatedwithrenaldenervation AT katarzynamoczała longtermqualityoflifeandclinicaloutcomesinpatientswithresistanthypertensiontreatedwithrenaldenervation AT zbigniewsiudak longtermqualityoflifeandclinicaloutcomesinpatientswithresistanthypertensiontreatedwithrenaldenervation AT arturdziewierz longtermqualityoflifeandclinicaloutcomesinpatientswithresistanthypertensiontreatedwithrenaldenervation AT waldemarmielecki longtermqualityoflifeandclinicaloutcomesinpatientswithresistanthypertensiontreatedwithrenaldenervation AT tomaszgorecki longtermqualityoflifeandclinicaloutcomesinpatientswithresistanthypertensiontreatedwithrenaldenervation AT karolinagerba longtermqualityoflifeandclinicaloutcomesinpatientswithresistanthypertensiontreatedwithrenaldenervation AT dariuszdudek longtermqualityoflifeandclinicaloutcomesinpatientswithresistanthypertensiontreatedwithrenaldenervation |
_version_ |
1725869712693264384 |