Acute Coronary Syndrome, Arterial Hypertension
Conditions
Brief summary
This study is aimed to evaluate the effect of renal denervation to decreasing blood pressure and left ventricle remodeling progression in patients after acute coronary syndrome.
Interventions
The treatment catheter is introduced into each renal artery and is applied discrete, radiofrequency ablations lasting up to 2 min each and of 8 watts or less to obtain up to six ablations separated both longitudinally and rotationally within each renal artery. During ablation, the catheter system monitored tip temperature and impedance, altering radiofrequency energy delivery in response to a predetermined algorithm. After the procedure the control arterial angiogram should be done.
Beta-blockers. Optimal mediсal therapy will be assigned according to ACS and STE guidelines.
ACE inhibitors. Optimal mediсal therapy will be assigned according to ACS and STE guidelines.
Sponsors
Study design
Eligibility
Inclusion criteria
* acute Q negative myocardium infarction (during first 14 days) * non stable angina * significant stenosis * BP \> 140/90 torr. during more than 1 year
Exclusion criteria
* absence of arterial hypertension * Thrombolysis during previous 24 hours * indications for CABG
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| cardiovascular death | 1 year |
| myocardium infarction | 1 year |
| stroke | 1 year |
| repeat revascularization | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| IVS thickness | 1 year |
| blood pressure changes | 1 year |
| diastolic disfunction | 1 year |
| restenosis | 1 year |
| CCS and NYHA | 1 year |
| heart rhythm disturbances | 1 year |
| intima-media index | 1 year |
Countries
Russia