Evidence map›Paper›PMID 25326158›Full record

Trial reportClinical research in cardiology : official journal of the German Cardiac Society2015

Beneficial effects of renal sympathetic denervation on cardiovascular inflammation and remodeling in essential hypertension.

Oliver Dörr, Christoph Liebetrau, Helge Möllmann, Felix Mahfoud, Sebastian Ewen, Luise Gaede, Christian Troidl, Jedrzej Hoffmann, Nikolai Busch, Gerald Laux and 4 more

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Clinical research in cardiology : official journal of the German Cardiac Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Reductions of left ventricular mass and atrial size following renal denervation: a meta-analysis.Clinical research in cardiology : official journal of the German Cardiac Society · 2016
    Pooled it
  2. Neuropeptide Y as an indicator of successful alterations in sympathetic nervous activity after renal sympathetic denervation.Clinical research in cardiology : official journal of the German Cardiac Society · 2015
    Trial
  3. Article
  4. Review
  5. Sympathetic Nervous System and Atherosclerosis.International journal of molecular sciences · 2023
    Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Impact of renal denervation on tissue NaClinical research in cardiology : official journal of the German Cardiac Society · 2018
    Observational
  12. Article
  13. Article
  14. Article
  15. Second denervation in a patient with resistant hypertension.Clinical research in cardiology : official journal of the German Cardiac Society · 2016
    Article
  16. Prevalence of thrombophilic disorders in takotsubo patients: the (ThROmbophylia in TAkotsubo cardiomyopathy) TROTA study.Clinical research in cardiology : official journal of the German Cardiac Society · 2016
    Article
  17. Review
  18. Observational
  19. Renal artery sympathetic denervation: observations from the UK experience.Clinical research in cardiology : official journal of the German Cardiac Society · 2016
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 2 countries.

Oliver DörrDepartment of Cardiology, University of Giessen, Klinikstr. 33, 35392, Giessen, Germany, oliver.doerr@innere.med.uni-giessen.de.
Christoph Liebetrau
Helge Möllmann
Felix Mahfoud
Sebastian Ewen
Luise Gaede
Christian Troidl
Jedrzej Hoffmann
Nikolai Busch
Gerald Laux
Jens Wiebe
Timm Bauer
Christian Hamm
Holger Nef
Kerckhoff Klinik · DEUniversity of Giessen · DEBroad Institute · USUniversitätsklinikum des Saarlandes · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRenal sympathetic denervation (RSD) represents a potential treatment option for certain patients with resistant arterial hypertension (HT). HT is associated with chronic vascular inflammation and remodeling, contributing to progressive vascular damage, and atherosclerosis. The present study aimed to evaluate the influence of RSD on cardiovascular inflammation and remodeling by determining serum levels of interleukin-6 (IL-6), high-sensitive C-reactive protein (hsCRP), matrix metalloproteinases (MMP), and tissue inhibitor of metalloproteinases (TIMP).

methodsA total of 60 consecutive patients (age 67.9 ± 9.6 years) undergoing RSD were included. A therapeutic response was defined as an office systolic blood pressure (SBP) reduction of >10 mmHg 6 months after RSD. Venous serum samples for measurement of hsCRP, IL-6, MMP-2, MMP-9, and TIMP-1 were collected prior to and 6 months after RSD.

resultsA significant reduction in office SBP of 26.4 mmHg [SBPbaseline 169.3 mmHg (SD 11.3), p < 0.001] was documented 6 months after RSD. The serum levels of hsCRP (p < 0.001) and the pro-inflammatory cytokine IL-6 (p < 0.001) were significantly decreased compared to baseline values. The levels of MMP-9 (p = 0.024) and MMP-2 (p < 0.01) were significantly increased compared to baseline values.

conclusionIn addition to the effective blood pressure reduction in response to RSD, this study demonstrates a positive effect of RSD on biomarkers reflecting vascular inflammation and remodeling. These results suggest a possible prognostic benefit of RSD in high-risk patients for endothelial dysfunction and cardiovascular remodeling as well as end-organ damage.

Indexed as

AgedBiomarkersCytokinesEssential HypertensionFemaleHumansHypertensionKidneyLongitudinal StudiesMaleMyocarditisSympathectomyTreatment OutcomeVentricular RemodelingBiomarkersCytokines

Identifiers

PMID25326158
OpenAlexW2162982998

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.