Renal denervation in a real life setting: A gradual decrease in home blood pressure

Martine M A Beeftink, Wilko Spiering, Michiel L. Bots, Willemien L. Verloop, Rosa L. De Jager, Margreet F. Sanders, Evert Jan Vonken, Peter J. Blankestijn, Michiel Voskuil

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

OBJECTIVES: To investigate the blood pressure dynamics after renal denervation through monthly home blood pressure measurements throughout the first 12 months.

METHODS: A cohort of 70 patients performed highly standardized monthly home blood pressure monitoring during the first year after denervation according to the European Society of Hypertension guidelines. At baseline and 12 months follow-up, office and ambulatory blood pressure as well as routine physical and laboratory assessment was performed.

RESULTS: Home blood pressure decreased with a rate of 0.53 mmHg/month (95% CI 0.20 to 0.86) systolic and 0.26 mmHg/month (95% CI 0.08 to 0.44) diastolic throughout 12 months of follow-up, while the use of antihypertensive medication remained stable (+0.03 daily defined doses/month, 95% CI -0.01 to 0.08). On average, a 12 month reduction of 8.1 mmHg (95% CI 4.2 to 12.0) was achieved in home systolic blood pressure, 9.3 mmHg (95% CI -14.2 to -4.4) as measured by 24-hour ambulatory blood pressure monitoring and 15.9 mmHg (95% CI -23.8 to -7.9) on office measurements.

CONCLUSION: Blood pressure reduction after renal denervation occurs as a gradual decrease that extends to at least one-year follow-up. Home monitoring seems a suitable alternative for ambulatory blood pressure monitoring after renal denervation.

Original languageEnglish
Article numbere0162251
JournalPLoS ONE [E]
Volume11
Issue number9
DOIs
Publication statusPublished - 1 Sept 2016

Fingerprint

Dive into the research topics of 'Renal denervation in a real life setting: A gradual decrease in home blood pressure'. Together they form a unique fingerprint.

Cite this