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射频去肾神经术治疗高血压患者:系统评价和荟萃分析。

Renal denervation by radiofrequency in patients with hypertension: systematic review and meta-analysis.

机构信息

Evidence-Based Medicine, Brazilian Medical Association - São Paulo (SP), Brazil.

Universidade de São Paulo, Faculty of Medicine - São Paulo (SP), Brazil.

出版信息

Rev Assoc Med Bras (1992). 2024 May 13;70(4):e2023D704. doi: 10.1590/1806-9282.2023D704. eCollection 2024.

DOI:10.1590/1806-9282.2023D704
PMID:38747880
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11095971/
Abstract

The Guidelines Project, which is an initiative of the Brazilian Medical Association, aims to combine information from the medical field to standardize how to conduct and assist in the reasoning and decision-making of doctors. The information provided by this project must be critically evaluated by the physician responsible for the conduct that will be adopted, depending on the conditions and the clinical condition of each patient.

摘要

《指南项目》是巴西医学协会的一项倡议,旨在结合医学领域的信息,规范医生进行推理和决策的方法并为其提供帮助。该项目提供的信息必须由负责将要采取的行为的医生进行批判性评估,具体取决于每位患者的具体情况和临床状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6bc/11095971/c339044b8649/1806-9282-ramb-70-4-e2023D704-gf06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6bc/11095971/de8a0fabe6da/1806-9282-ramb-70-4-e2023D704-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6bc/11095971/882871a2a53b/1806-9282-ramb-70-4-e2023D704-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6bc/11095971/96443d0b9b58/1806-9282-ramb-70-4-e2023D704-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6bc/11095971/fa429da7800b/1806-9282-ramb-70-4-e2023D704-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6bc/11095971/6657bf2aab93/1806-9282-ramb-70-4-e2023D704-gf05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6bc/11095971/c339044b8649/1806-9282-ramb-70-4-e2023D704-gf06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6bc/11095971/de8a0fabe6da/1806-9282-ramb-70-4-e2023D704-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6bc/11095971/882871a2a53b/1806-9282-ramb-70-4-e2023D704-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6bc/11095971/96443d0b9b58/1806-9282-ramb-70-4-e2023D704-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6bc/11095971/fa429da7800b/1806-9282-ramb-70-4-e2023D704-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6bc/11095971/6657bf2aab93/1806-9282-ramb-70-4-e2023D704-gf05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6bc/11095971/c339044b8649/1806-9282-ramb-70-4-e2023D704-gf06.jpg

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引用本文的文献

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Clin Cardiol. 2025 Mar;48(3):e70104. doi: 10.1002/clc.70104.

本文引用的文献

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Safety and Efficacy of Renal Denervation in Patients Taking Antihypertensive Medications.抗高血压药物治疗患者的肾脏去神经术的安全性和疗效。
J Am Coll Cardiol. 2023 Nov 7;82(19):1809-1823. doi: 10.1016/j.jacc.2023.08.045.
2
Renal denervation in the management of hypertension in adults. A clinical consensus statement of the ESC Council on Hypertension and the European Association of Percutaneous Cardiovascular Interventions (EAPCI).经导管去肾交感神经术治疗成人高血压管理:欧洲心脏病学会(ESC)高血压理事会和欧洲经皮心血管介入学会(EAPCI)的临床共识声明。
EuroIntervention. 2023 Mar 20;18(15):1227-1243. doi: 10.4244/EIJ-D-22-00723.
3
The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.
PRISMA 2020 声明:系统评价报告的更新指南。
BMJ. 2021 Mar 29;372:n71. doi: 10.1136/bmj.n71.
4
Randomized Blinded Placebo-Controlled Trials of Renal Sympathetic Denervation for Hypertension: A Meta-Analysis.随机盲法安慰剂对照的去肾交感神经术治疗高血压的试验:荟萃分析。
Cardiovasc Revasc Med. 2022 Jan;34:112-118. doi: 10.1016/j.carrev.2021.01.031. Epub 2021 Jan 30.
5
Efficacy of catheter-based renal denervation in the absence of antihypertensive medications (SPYRAL HTN-OFF MED Pivotal): a multicentre, randomised, sham-controlled trial.在不使用抗高血压药物的情况下基于导管的肾脏去神经术的疗效(SPYRAL HTN-OFF MED Pivotal):一项多中心、随机、假对照试验。
Lancet. 2020 May 2;395(10234):1444-1451. doi: 10.1016/S0140-6736(20)30554-7. Epub 2020 Mar 29.
6
The REDUCE HTN: REINFORCE: Randomized, Sham-Controlled Trial of Bipolar Radiofrequency Renal Denervation for the Treatment of Hypertension.REDUCE HTN:REINFORCE 随机、假对照试验:双极射频肾动脉去神经支配治疗高血压。
JACC Cardiovasc Interv. 2020 Feb 24;13(4):461-470. doi: 10.1016/j.jcin.2019.10.061.
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RoB 2: a revised tool for assessing risk of bias in randomised trials.《随机对照试验偏倚风险评估工具2:修订版》
BMJ. 2019 Aug 28;366:l4898. doi: 10.1136/bmj.l4898.
8
Resistant Hypertension and Renal Nerve Denervation.顽固性高血压与肾神经去支配术
Methodist Debakey Cardiovasc J. 2015 Oct-Dec;11(4):240-4. doi: 10.14797/mdcj-11-4-240.
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10
Hypertension in adults across the age spectrum: current outcomes and control in the community.各年龄段成年人的高血压:社区中的当前结局与控制情况
JAMA. 2005 Jul 27;294(4):466-72. doi: 10.1001/jama.294.4.466.