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Renal denervation: dark past, bright future?


ABSTRACT: The purpose of this review is to update the reader on the relevance of autonomic nervous system imbalance in clinical cardiology. Increased sympathetic tone associates with the metabolic syndrome, hypertension and cardiac arrhythmias. With the kidneys playing a pivotal role in increased peripheral resistance, sodium and water retention and other mechanisms, renal denervation (RD) may theoretically restore autonomic imbalance and improve cardiovascular outcomes. Landmark RD trials and novel uses for RD in cardiac arrhythmia management are discussed.

SUBMITTER: Heradien M 

PROVIDER: S-EPMC8802378 | biostudies-literature | 2019 Sep/Oct

REPOSITORIES: biostudies-literature

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Renal denervation: dark past, bright future?

Heradien Marshall M   Mahfoud Felix F   Hettrick Doug D   Brink Paul P  

Cardiovascular journal of Africa 20190901 5


The purpose of this review is to update the reader on the relevance of autonomic nervous system imbalance in clinical cardiology. Increased sympathetic tone associates with the metabolic syndrome, hypertension and cardiac arrhythmias. With the kidneys playing a pivotal role in increased peripheral resistance, sodium and water retention and other mechanisms, renal denervation (RD) may theoretically restore autonomic imbalance and improve cardiovascular outcomes. Landmark RD trials and novel uses  ...[more]

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