Frontiers in Cardiovascular Drug Discovery

Author(s): A. Doltra, E. Fleck and S. Kelle

DOI: 10.2174/9781608059683115020006

Clinical Value of Catheter-Based Sympathetic Nerve Modulation

Pp: 231-248 (18)

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Abstract

SHS investigation development is considered from the geographical and historical viewpoint. 3 stages are described. Within Stage 1 the work was carried out in the Department of the Institute of Chemical Physics in Chernogolovka where the scientific discovery had been made. At Stage 2 the interest to SHS arose in different cities and towns of the former USSR. Within Stage 3 SHS entered the international scene. Now SHS processes and products are being studied in more than 50 countries.

Abstract

Hypertension is a prevalent condition leading to cardiovascular adverse events and mortality. Despite the pharmacologic treatments available, persistently elevated blood pressure can be observed in a significant number of patients. Dysfunction of the sympathetic nervous system plays an important role in hypertension. Radiofrequency ablation can disrupt the sympathetic innervation localized in the adventitia of the renal arteries, thus modulating the sympathetic nervous system. In this chapter sympathetic nerve modulation will be discussed, including physiopathological considerations, technical aspects and experience arising from animal and clinical studies.

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