Hypertension
Conditions
Keywords
RDN, renal denervation, catecholamine, spill-over, blood pressure, electrophysiology, ablation
Brief summary
Despite a rapidly increasing number of renal denervation (RDN) procedures, only little is known regarding the patient or procedural characteristics influencing the outcome. None of the detectable variables like number of ablation points, temperature rise, impedance drop, have been shown to correlate with the blood pressure (BP) reduction. In this study, the investigators assess different patient and procedural characteristics, like exact patient medication, stress hormones, heart rate variability, and focus on the change of the catecholamine spill-over, and the impact on BP and heart rate after RDN and after EP ablation. The investigators hypothesize the correlation between reduction of catecholamine spill-over due to denervation and the BP reduction. In this study, the investigators will assess 40 patients undergoing RDN and 40 patients undergoing EP ablation.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* medically-indicated renal denervation * Age over 18 years * written informed consent
Exclusion criteria
* pregnancy * expected compliance problems * current participation in other studies
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Catecholamine norepinephrine and epinephrine (pg/ml) | 2 years | Measurement the differences of norepinephrine and epinephrine (pg/ml) in the renal vein and artery before and after the ablation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Impact of the ablation on 24-hour blood pressure (mmHg) and heart rate (beats/min) | 2 years | Complete measurement of 24-hour systolic, diastolic, and mean arterial blood pressure (mmHg) and heart rate (beats/min)before and after ablation |
Countries
Germany