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肾动脉与高血压

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针对肾动脉与高血压的研究已有近百年历史。在肾血管性高血压领域,既往多项随机对照研究提示介入治疗并未在药物治疗基础上给患者提供进一步获益,但功能学评估及新型影像学方法有望进行更精准的患者筛选与个体化治疗评估。围绕肾动脉开展的去肾神经术这一新技术在经历了一波三折的循证研究历程后,即将进入中国临床应用。全面回顾以往研究、客观正确认识新技术的两面性,是其良性发展的有力保证。不仅如此,更多新的高血压介入诊疗技术仍在研究,围绕肾动脉的相关新技术仍将在高血压的精准诊断和治疗中发挥不可替代的作用,并造福广大患者。
Renal Artery and Hypertension
The research on the renal artery and hypertension has a history of nearly a century.In the field of renal vascular hypertension,previous randomized controlled studies have suggested that interventional treatments may not provide additional benefits to patients compared to medication alone.However,hemodynamic assessment and novel imaging technique may offer potential for more precise patient selection and individualized treatment evaluation.The emergence of renal denervation(RDN)as a new technology in the treatment of hypertension through renal artery,after a tumultuous journey of evidence-based research,is now poised to enter clinical practice in China.A comprehensive review of past research and an objective understanding of the dual nature of new technologies are essential to ensure the benign development of RDN.Furthermore,ongoing research is exploring additional new hypertension intervention and treatment technologies.These advancements centered around renal arteries are expected to play an irreplaceable role in the precise diagnosis and treatment of hypertension,ultimately benefiting a wide range of patients.

Renal arteryHypertensionRenal artery stenosisRenal denervationHypertension intervention

李建平、李昱熙

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北京大学第一医院心内科,北京 100034

肾动脉 高血压 肾动脉狭窄 去肾神经术 高血压介入

中央高水平医院临床科研业务费资助(北京大学第一医院高质量临床研究专项)中央高水平医院临床科研业务费资助(北京大学第一医院科技成果转化孵育引导基金项目)

2022CR772022CX07

2024

心血管病学进展
成都市心血管病研究所,成都市第三人民医院

心血管病学进展

CSTPCD
影响因子:0.932
ISSN:1004-3934
年,卷(期):2024.45(3)
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