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肾去神经术:难治性高血压的终极手段还是标准疗法?

Renal denervation: ultima ratio or standard in treatment-resistant hypertension.

机构信息

Pole of Cardiovascular Research, Institut de Recherche Expérimentale et Clinique, Université Catholique de Louvain, Brussels, Belgium.

出版信息

Hypertension. 2012 Sep;60(3):596-606. doi: 10.1161/HYPERTENSIONAHA.112.195263. Epub 2012 Jul 30.

Abstract

The term “ultima ratio” has multiple, though related, meanings. The motto “ultima ratio regum,” cast on the cannons of the French army of King Louis XIV, meant that war is the last argument of kings, that is, the one to be used after all diplomatic arguments have failed. Along similar lines, we propose that, given the current evidence, renal denervation should be used as a last resort, after state-of-the-art drug treatment optimized at expert centers failed to control blood pressure.

摘要

“ultima ratio”一词有多重含义,但彼此相关。座右铭“ultima ratio regum”被铸造在法国国王路易十四军队的大炮上,意思是战争是国王的最后手段,即在所有外交争论都失败后才使用的手段。类似地,鉴于目前的证据,在专家中心优化的最先进药物治疗未能控制血压后,应将肾去神经作为最后的手段。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6986/3607230/09917f9e3860/emss-52459-f0001.jpg

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