Baroreflex Activation Therapy for the Treatment of Drug-Resistant Hypertension: New Developments

In the past few years, novel accomplishments have been obtained in carotid baroreflex activation therapy (BAT) for the treatment of resistant hypertension. In addition, this field is still evolving with promising results in the reduction of blood pressure and heart rate. This overview addresses the...

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Main Authors: Teba Alnima, Peter W. de Leeuw, Abraham A. Kroon
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Cardiology Research and Practice
Online Access:http://dx.doi.org/10.1155/2012/587194
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author Teba Alnima
Peter W. de Leeuw
Abraham A. Kroon
author_facet Teba Alnima
Peter W. de Leeuw
Abraham A. Kroon
author_sort Teba Alnima
collection DOAJ
description In the past few years, novel accomplishments have been obtained in carotid baroreflex activation therapy (BAT) for the treatment of resistant hypertension. In addition, this field is still evolving with promising results in the reduction of blood pressure and heart rate. This overview addresses the latest developments in BAT for the treatment of drug-resistant hypertension. Although not totally understood considering the working mechanisms of BAT, it appeared to be possible to achieve at least as much efficacy of single-sided as bilateral stimulation. Therefore unlike the first-generation Rheos system, the second-generation Barostim neo operates by unilateral baroreflex activation, using a completely different carotid electrode. Also significant improvements in several cardiac parameters have been shown by BAT in hypertensive patients, which set the basis for further research to evaluate BAT as a therapy for systolic heart failure. Yet important uncertainties need to be clarified to guarantee beneficial effects; hence not all participants seem to respond to BAT.
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spelling doaj-art-8f72e5533a9e413980f550e48a79242f2025-02-03T05:58:03ZengWileyCardiology Research and Practice2090-80162090-05972012-01-01201210.1155/2012/587194587194Baroreflex Activation Therapy for the Treatment of Drug-Resistant Hypertension: New DevelopmentsTeba Alnima0Peter W. de Leeuw1Abraham A. Kroon2Department of Internal Medicine, Maastricht University Medical Center, P. Debyelaan 25, 6229 HX Maastricht, The NetherlandsDepartment of Internal Medicine, Maastricht University Medical Center, P. Debyelaan 25, 6229 HX Maastricht, The NetherlandsDepartment of Internal Medicine, Maastricht University Medical Center, P. Debyelaan 25, 6229 HX Maastricht, The NetherlandsIn the past few years, novel accomplishments have been obtained in carotid baroreflex activation therapy (BAT) for the treatment of resistant hypertension. In addition, this field is still evolving with promising results in the reduction of blood pressure and heart rate. This overview addresses the latest developments in BAT for the treatment of drug-resistant hypertension. Although not totally understood considering the working mechanisms of BAT, it appeared to be possible to achieve at least as much efficacy of single-sided as bilateral stimulation. Therefore unlike the first-generation Rheos system, the second-generation Barostim neo operates by unilateral baroreflex activation, using a completely different carotid electrode. Also significant improvements in several cardiac parameters have been shown by BAT in hypertensive patients, which set the basis for further research to evaluate BAT as a therapy for systolic heart failure. Yet important uncertainties need to be clarified to guarantee beneficial effects; hence not all participants seem to respond to BAT.http://dx.doi.org/10.1155/2012/587194
spellingShingle Teba Alnima
Peter W. de Leeuw
Abraham A. Kroon
Baroreflex Activation Therapy for the Treatment of Drug-Resistant Hypertension: New Developments
Cardiology Research and Practice
title Baroreflex Activation Therapy for the Treatment of Drug-Resistant Hypertension: New Developments
title_full Baroreflex Activation Therapy for the Treatment of Drug-Resistant Hypertension: New Developments
title_fullStr Baroreflex Activation Therapy for the Treatment of Drug-Resistant Hypertension: New Developments
title_full_unstemmed Baroreflex Activation Therapy for the Treatment of Drug-Resistant Hypertension: New Developments
title_short Baroreflex Activation Therapy for the Treatment of Drug-Resistant Hypertension: New Developments
title_sort baroreflex activation therapy for the treatment of drug resistant hypertension new developments
url http://dx.doi.org/10.1155/2012/587194
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