Renal Responses to Long-Term Carotid Baroreflex Activation Therapy in Patients With Drug-Resistant Hypertension

Teba Alnima, Peter W. de Leeuw, Frans E. S. Tan, Abraham A. Kroon*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

21 Citations (Web of Science)

Abstract

Carotid baroreflex activation has been demonstrated to provide enduring reductions in arterial blood pressure. The aim of this study was to investigate the effect of long-term therapy on renal function. A total of 322 patients were enrolled in the Rheos Pivotal Trial. Group 1 consisted of 236 patients who started baroreflex activation therapy 1 month after device implantation, whereas in the 86 patients from group 2 the device was activated 6 months later. Serum creatinine and urine albumin/creatinine ratio were collected at screening (before device activation), and at months 6 and 12. Multilevel statistical analyses were adjusted for various covariables. Serum creatinine increased from 78 to 84 mu mol/L, and glomerular filtration rate decreased from 92 to 87 mL/min per 1.73 m(2) in group 1 at month 6 (P
Original languageEnglish
Pages (from-to)1334-U425
JournalHypertension
Volume61
Issue number6
DOIs
Publication statusPublished - Jun 2013

Keywords

  • albumin/creatinine ratio
  • carotid baroreflex activation
  • drug-resistant hypertension
  • glomerular filtration rate
  • renal function

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