Evidence map›Paper›PMID 25339295›Full record

ArticleJournal of human hypertension2015

Blood pressure response to renal nerve stimulation in patients undergoing renal denervation: a feasibility study.

P Gal, M R de Jong, J J J Smit, A Adiyaman, J A Staessen, A Elvan

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Journal of human hypertension, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05421767 (National Tawan University Hospital), which is not on this map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
–field-weighted citation impact
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.

NCT05421767 phase4recruitingnot on this mapstarted 2022, after this paper: background citation

National Tawan University Hospital

TypeinterventionalSponsorNational Taiwan University HospitalRan2022 to 2027Enrolled60ConditionsHypertensionArmsnerve stimulation guided renal denervation procedure
3 · Its place in the literature

Who cites it

35 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Differences in the effectiveness and safety of different renal denervation devices.Hypertension research : official journal of the Japanese Society of Hypertension · 2024
    Review
  6. Article
  7. Current problems in renal denervation and a hope to break the stage.Hypertension research : official journal of the Japanese Society of Hypertension · 2023
    Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Device-based therapies for arterial hypertension.Nature reviews. Cardiology · 2020
    Review
  15. Article
  16. Review
  17. Article
  18. Neuromodulation for the Treatment of Heart Rhythm Disorders.JACC. Basic to translational science · 2019
    Review
  19. Renal sympathetic denervation induces changes in heart rate variability and is associated with a lower sympathetic tone.Clinical research in cardiology : official journal of the German Cardiac Society · 2019
    Article
  20. Changes in arterial pressure hemodynamics in response to renal nerve stimulation both before and after renal denervation.Clinical research in cardiology : official journal of the German Cardiac Society · 2018
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

P GalDepartment of Cardiology, Isala Klinieken, Zwolle, The Netherlands.
M R de JongDepartment of Cardiology, Isala Klinieken, Zwolle, The Netherlands.
J J J SmitDepartment of Cardiology, Isala Klinieken, Zwolle, The Netherlands.
A AdiyamanDepartment of Cardiology, Isala Klinieken, Zwolle, The Netherlands.
J A StaessenThe Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium.
A ElvanDepartment of Cardiology, Isala Klinieken, Zwolle, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During renal sympathetic denervation (RDN), no mapping of renal nerves is performed and there is no clear end point of RDN. We hypothesized high-frequency renal nerve stimulation (RNS) may increase blood pressure (BP), and this increase is significantly blunted after RDN. The aim of this study was to determine the feasibility of RNS in patients undergoing RDN. Eight patients with resistant hypertension undergoing RDN were included. A quadripolar catheter was positioned at four different sites in either renal artery. RNS was performed during 1 min with a pacing frequency of 20 Hz. After all patients successfully underwent RDN, RNS was repeated at the site of maximum BP response before RDN in either renal artery. Mean age was 66 years. During RNS, BP increased significantly from 108/55 to 132/68 mm Hg (P < 0.001). After RDN, systolic BP response at the site of maximum response to RNS was significantly blunted (+43.1 vs +9.3 mm Hg, P = 0.002). In three patients, a systolic BP increase >10 mm Hg was observed after RDN. In conclusion, RNS resulted in an acute temporary BP increase. This response was significantly blunted after RDN. RNS may potentially serve as an end point for RDN.

Indexed as

HypertensionKidneyAgedBlood PressureBlood Pressure DeterminationCatheterization, PeripheralDrug ResistanceElectric StimulationEndovascular ProceduresFeasibility StudiesFemaleHeart RateHumansHypoglycemic AgentsMaleMiddle AgedHypoglycemic Agents

Identifiers

PMID25339295

What OpenQuestion holds

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Registered trials

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.