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. 2020 Mar 25;41(16):1588–1599. doi: 10.1093/eurheartj/ehaa121

Table 3.

Current and potential candidate hypertensive populations for RDN therapy

Patient group Pro Con
Current candidates
Difficult-to-control hypertensive patients (with office SBP between 140 and 170 mmHg or DBP between 90 and 109 mmHg)
  • Current target population

  • Solid evidence base

Narrow group
Potential candidates
CAD patients
  • Very high-risk patients

  • Low rates of BP control in daily care

Prolonged procedure (PCI + RDN)
Cancer survivors
  • Many cancer treatments can induce hypertension

  • HTN is a risk factor for the toxicity of other agent

Need for RDN not proven
HIV patients
  • Already under major pill burden

  • Drug–drug interaction

  • Previously neglected group

  • Recruitment challenges

  • Need for RDN not proven

White-coat hypertension on medications

 

Masked hypertension off and on medications

  • High-risk groups

  • Large population

  • Untested therapy in this population

  • Uncertain reproducibility of current data on risk

  • Not well-recognized as candidates

  • Need for RDN not proven

White-coat hypertension off medications
  • Many will develop chronic hypertension

  • Large population

  • Untested therapy in this population

  • Uncertain reproducibility of current data on risk

  • Not well-recognized as candidates

  • Unmet need not proven

CAD, coronary artery disease; HIV, human immunodeficiency virus; HTN, hypertension; PCI, percutaneous coronary intervention.