Evidence map›Paper›PMID 39543413›Full record

ReviewHypertension research : official journal of the Japanese Society of Hypertension2025

Novel approaches to define responders to interventional treatment in hypertension: insights from the SPYRAL HTN-OFF and HTN-ON MED trials.

Roland E Schmieder, Douglas A Hettrick, Michael Böhm, David E Kandzari, Kazuomi Kario, Felix Mahfoud, Konstantinos Tsioufis, Michael A Weber, Murray D Esler, Raymond R Townsend

Abstract readReview
In one paragraph

Review in Hypertension research : official journal of the Japanese Society of Hypertension, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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.

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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Review
  3. Article
  4. Review
  5. Review
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

10 authors.

Roland E SchmiederUniversity Hospital Erlangen, Erlangen, Germany. roland.schmieder@uk-erlangen.de.
Douglas A HettrickMedtronic, Santa Rosa, CA, USA. doug.hettrick@medtronic.com.
Michael BöhmUniversitätsklinikum des Saarlandes, Saarland University, Homburg, Germany.
David E KandzariPiedmont Heart Institute, Atlanta, GA, USA.
Kazuomi KarioDepartment of Cardiovascular Medicine, Jichi Medical University School of Medicine, Tochigi, Japan.
Felix MahfoudDepartment of Cardiology, University Heart Center, University Hospital Basel, Switzerland. Cardiovascular Research Institute Basel (CRIB), University Heart Center, University Hospital Basel, Basel, Switzerland.
Konstantinos TsioufisNational and Kapodistrian University of Athens, Hippocratio Hospital, Athens, Greece.
Michael A WeberDepartment of Medicine, SUNY Downstate College of Medicine, New York, NY, USA.
Murray D EslerHuman Neurotransmitter Laboratory, Baker Heart and Diabetes Institute, Melbourne, VIC, Australia.
Raymond R TownsendPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multiple sham-controlled clinical trials have demonstrated significant reductions in both office and 24-h blood pressure (BP) following radiofrequency renal denervation (RDN) in the uncontrolled hypertension population. Notably, the blood pressure response varies widely within individual participants, thus showing a clinical need to identify potential RDN "responders" prior to the procedure. Despite multiple analytic efforts, no single parameter, aside from baseline blood pressure, has been consistently associated with BP reduction following RDN. However, this failure may be due to limitations in empiric definitions of responders. Indeed, commonly applied responder definitions based on the difference between two point-in-time BP measurements are fraught due to visit-to-visit variability in office and 24-h blood pressure endpoints. Several factors should be considered to develop a more clinically useful operational definition of procedural response including relative changes in office and 24-h BP, consideration of the temporal response to RDN, as well as adjustment for baseline BP. The current evidence may provide incentives for future expert consensus to precisely define responders to hypertension treatments.

Indexed as

Blood PressureHypertensionAntihypertensive AgentsHumansKidneySympathectomyTreatment OutcomeAntihypertensive AgentsBlood pressure variabilityRenal denervationResponders

Identifiers

PMID39543413
PMCPMC11700838

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.