SCHMIEDER, R.E., C. OTT, S.W. TOENNES, P. BRAMLAGE, M. GERTNER, O. DAWOOD, P. BAUMGART, B. O'BRIEN, I. DASGUPTA, G. NICKENIG, J. ORMISTON, M. SAXENA, A.S.P. SHARP, H. SIEVERT, Jindřich ŠPINAR, Zdeněk STÁREK, J. WEIL, U. WENZEL, A. WITKOWSKI a M.D. LOBO. Phase II randomized sham-controlled study of renal denervation for individuals with uncontrolled hypertension - WAVE IV. Journal of Hypertension. PHILADELPHIA: William and Wilkins, 2018, roč. 36, č. 3, s. 680-689. ISSN 0263-6352. Dostupné z: https://dx.doi.org/10.1097/HJH.0000000000001584. |
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@article{1422336, author = {Schmieder, R.E. and Ott, C. and Toennes, S.W. and Bramlage, P. and Gertner, M. and Dawood, O. and Baumgart, P. and O'Brien, B. and Dasgupta, I. and Nickenig, G. and Ormiston, J. and Saxena, M. and Sharp, A.S.P. and Sievert, H. and Špinar, Jindřich and Stárek, Zdeněk and Weil, J. and Wenzel, U. and Witkowski, A. and Lobo, M.D.}, article_location = {PHILADELPHIA}, article_number = {3}, doi = {http://dx.doi.org/10.1097/HJH.0000000000001584}, keywords = {renal denervation; treatment-resistant hypertension; ultrasound; WAVE IV}, language = {eng}, issn = {0263-6352}, journal = {Journal of Hypertension}, title = {Phase II randomized sham-controlled study of renal denervation for individuals with uncontrolled hypertension - WAVE IV}, url = {https://journals.lww.com/jhypertension/Fulltext/2018/03000/Phase_II_randomized_sham_controlled_study_of_renal.30.aspx}, volume = {36}, year = {2018} }
TY - JOUR ID - 1422336 AU - Schmieder, R.E. - Ott, C. - Toennes, S.W. - Bramlage, P. - Gertner, M. - Dawood, O. - Baumgart, P. - O'Brien, B. - Dasgupta, I. - Nickenig, G. - Ormiston, J. - Saxena, M. - Sharp, A.S.P. - Sievert, H. - Špinar, Jindřich - Stárek, Zdeněk - Weil, J. - Wenzel, U. - Witkowski, A. - Lobo, M.D. PY - 2018 TI - Phase II randomized sham-controlled study of renal denervation for individuals with uncontrolled hypertension - WAVE IV JF - Journal of Hypertension VL - 36 IS - 3 SP - 680-689 EP - 680-689 PB - William and Wilkins SN - 02636352 KW - renal denervation KW - treatment-resistant hypertension KW - ultrasound KW - WAVE IV UR - https://journals.lww.com/jhypertension/Fulltext/2018/03000/Phase_II_randomized_sham_controlled_study_of_renal.30.aspx N2 - Objectives: The aim of this double-blind, randomized, sham-controlled study was to verify the blood pressure (BP)-lowering efficacy of externally delivered focused ultrasound for renal denervation (RDN). Background: Nonrandomized, first proof-of-concept study and experimental evidence suggested that noninvasive techniques of RDN emerged as an alternative approach of RDN to invasive technologies. Methods: WAVE IV, an international, randomized (1 : 1) sham-controlled, double-blind prospective clinical study, was prematurely stopped. Patients were enrolled if office BP was at least 160 mmHg and 24-h ambulatory BP was at least 135 mmHg, while taking three or more antihypertensive medications. The treatment consisted of bilateral RDN using therapeutic levels of ultrasound energy and the sham consisted of bilateral application of diagnostic levels of ultrasound energy. Results: In the 81 treated patients neither changes in office BP at 12 and 24 weeks, nor changes in 24-h ambulatory BP at 24-week follow-up visit differed between the two groups significantly. Of note, no safety signal was observed. Adherence analysis disclosed full adherence in 77% at baseline and 82% at 6 months' follow-up visit. Post hoc analysis revealed that stricter criteria for stabilization of BP at baseline were associated with a numerically greater change in 24-h ambulatory BP in the RDN group than in the sham group. Conclusion: Our data did not prove that antihypertensive efficacy of the externally delivered focused ultrasound for RDN was greater than the sham effect. Stabilization of BP at baseline was identified as an important determinant of BP changes. ER -
SCHMIEDER, R.E., C. OTT, S.W. TOENNES, P. BRAMLAGE, M. GERTNER, O. DAWOOD, P. BAUMGART, B. O'BRIEN, I. DASGUPTA, G. NICKENIG, J. ORMISTON, M. SAXENA, A.S.P. SHARP, H. SIEVERT, Jindřich ŠPINAR, Zdeněk STÁREK, J. WEIL, U. WENZEL, A. WITKOWSKI a M.D. LOBO. Phase II randomized sham-controlled study of renal denervation for individuals with uncontrolled hypertension - WAVE IV. \textit{Journal of Hypertension}. PHILADELPHIA: William and Wilkins, 2018, roč.~36, č.~3, s.~680-689. ISSN~0263-6352. Dostupné z: https://dx.doi.org/10.1097/HJH.0000000000001584.
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