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心力衰竭背景下的肾去神经支配。

Renal denervation in the setting of heart failure.

作者信息

Koppe-Schmeißer Franziska, Fengler Karl, Kresoja Karl-Patrik, Lurz Philipp, Rommel Karl-Philipp

机构信息

Department of Cardiology, University Medical Center of the Johannes Gutenberg University, Langenbeckstraße 1, 55131, Mainz, Germany.

Department of Cardiology, Heart Center at University of Leipzig and Leipzig Heart Institute, Leipzig, Germany.

出版信息

Heart Fail Rev. 2025 Jan 29. doi: 10.1007/s10741-025-10489-z.

DOI:10.1007/s10741-025-10489-z
PMID:39875629
Abstract

Renal Denervation (RDN) has emerged over the last decade as a third pillar in the treatment of arterial hypertension, alongside pharmacotherapy and lifestyle modifications. Mechanistically, it reduces central sympathetic overactivation, a process also relevant to heart failure. In this mini-review, we summarize the development of RDN for heart failure, discuss the current evidence supporting its effects, and provide an outlook on future developments.

摘要

在过去十年中,肾去神经支配术(RDN)已成为治疗动脉高血压的第三大支柱,与药物治疗和生活方式改变并驾齐驱。从机制上讲,它可减少中枢交感神经过度激活,这一过程也与心力衰竭相关。在这篇小型综述中,我们总结了RDN在心力衰竭治疗方面的发展,讨论了支持其疗效的现有证据,并对未来发展进行了展望。

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1
Renal denervation in the setting of heart failure.心力衰竭背景下的肾去神经支配。
Heart Fail Rev. 2025 Jan 29. doi: 10.1007/s10741-025-10489-z.
2
The road to renal denervation for hypertension and beyond (HF): two decades of failed, succeeded, and to be determined.肾去神经术治疗高血压及其他疾病(心力衰竭)之路:二十年的失败、成功与待决之事。
Heart Fail Rev. 2025 Mar;30(2):293-314. doi: 10.1007/s10741-024-10463-1. Epub 2024 Nov 7.
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A perspective on sympathetic renal denervation in chronic congestive heart failure.慢性充血性心力衰竭中交感神经肾去神经支配的观点
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Beyond blood pressure: percutaneous renal denervation for the management of sympathetic hyperactivity and associated disease states.超越血压:经皮肾去神经支配术治疗交感神经过度兴奋及相关疾病状态
J Am Heart Assoc. 2015 Mar 23;4(3):e001415. doi: 10.1161/JAHA.114.001415.
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Renal Denervation to Modify Hypertension and the Heart Failure State.肾去神经支配术改善高血压和心力衰竭状态
Interv Cardiol Clin. 2017 Jul;6(3):453-464. doi: 10.1016/j.iccl.2017.03.013. Epub 2017 Apr 26.
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Effects of catheter-based renal denervation on heart failure with reduced ejection fraction: a systematic review and meta-analysis.基于导管的肾脏去神经术对射血分数降低的心力衰竭的影响:系统评价和荟萃分析。
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Pathophysiology I: the kidney and the sympathetic nervous system.病理生理学 I:肾脏和交感神经系统。
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Renal sympathetic denervation induces changes in heart rate variability and is associated with a lower sympathetic tone.肾脏去神经支配可引起心率变异性的变化,并与较低的交感神经张力相关。
Clin Res Cardiol. 2019 Jan;108(1):22-30. doi: 10.1007/s00392-018-1307-2. Epub 2018 Jun 25.
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Renal denervation in hypertension: Towards a true revival?高血压中的肾去神经支配:能否真正复兴?
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Effects of catheter-based renal denervation on cardiac sympathetic activity and innervation in patients with resistant hypertension.基于导管的肾去神经术对顽固性高血压患者心脏交感神经活动及神经支配的影响。
Clin Res Cardiol. 2016 Apr;105(4):364-71. doi: 10.1007/s00392-015-0930-4. Epub 2015 Oct 22.

引用本文的文献

1
The Role of Renal Denervation in HFpEF.肾去神经支配在射血分数保留的心力衰竭中的作用
J Clin Med. 2025 Jun 10;14(12):4115. doi: 10.3390/jcm14124115.

本文引用的文献

1
Efficacy of renal denervation as an adjunct to pulmonary vein isolation for atrial fibrillation treatment: a systematic review and meta-analysis.肾动脉去神经术作为肺静脉隔离辅助治疗心房颤动的疗效:一项系统评价和荟萃分析。
Eur Heart J Open. 2024 Aug 5;4(4):oeae065. doi: 10.1093/ehjopen/oeae065. eCollection 2024 Jul.
2
Modulation of Pulsatile Left Ventricular Afterload by Renal Denervation in Heart Failure With Preserved Ejection Fraction.肾去神经支配对射血分数保留的心力衰竭患者搏动性左心室后负荷的调节作用
Circ Heart Fail. 2023 Oct;16(10):e010543. doi: 10.1161/CIRCHEARTFAILURE.123.010543. Epub 2023 Aug 30.
3
Sympathomodulation in Heart Failure with High vs. Normal Ejection Fraction.
射血分数高与正常的心力衰竭中的交感神经调节
Struct Heart. 2022 Aug 2;6(4):100073. doi: 10.1016/j.shj.2022.100073. eCollection 2022 Aug.
4
Multi-organ denervation: a novel approach to combat cardiometabolic disease.多器官去神经支配:一种治疗心脏代谢疾病的新方法。
Hypertens Res. 2023 Jul;46(7):1747-1758. doi: 10.1038/s41440-023-01287-x. Epub 2023 Apr 24.
5
Ventricular stiffening and chamber contracture in heart failure with higher ejection fraction.射血分数较高的心衰患者的心室僵硬和心腔收缩。
Eur J Heart Fail. 2023 May;25(5):657-668. doi: 10.1002/ejhf.2843. Epub 2023 Apr 12.
6
Renal denervation in management of heart failure with reduced ejection fraction: A systematic review and meta-analysis.心力衰竭伴射血分数降低患者的肾脏去神经支配治疗:系统评价和荟萃分析。
J Cardiol. 2023 Jun;81(6):513-521. doi: 10.1016/j.jjcc.2023.01.010. Epub 2023 Feb 8.
7
Angiotensin Receptor-Neprilysin Inhibition (ARNI) in Heart Failure.血管紧张素受体-中性肽链内切酶抑制(ARNI)在心力衰竭中的应用
Int J Heart Fail. 2020 Mar 24;2(2):73-90. doi: 10.36628/ijhf.2020.0002. eCollection 2020 Apr.
8
Pulmonary Artery Denervation for Pulmonary Arterial Hypertension: A Sham-Controlled Randomized PADN-CFDA Trial.肺动脉去神经术治疗肺动脉高压:一项假手术对照、随机的 PADN-CFDA 试验。
JACC Cardiovasc Interv. 2022 Dec 12;15(23):2412-2423. doi: 10.1016/j.jcin.2022.09.013. Epub 2022 Sep 18.
9
Characteristics of Heart Failure With Preserved Ejection Fraction Across the Range of Left Ventricular Ejection Fraction.射血分数保留的心力衰竭在左心室射血分数范围内的特征。
Circulation. 2022 Aug 16;146(7):506-518. doi: 10.1161/CIRCULATIONAHA.122.059280. Epub 2022 Jul 8.
10
2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: Developed by the Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) With the special contribution of the Heart Failure Association (HFA) of the ESC.2021年欧洲心脏病学会(ESC)急性和慢性心力衰竭诊断与治疗指南:由欧洲心脏病学会(ESC)急性和慢性心力衰竭诊断与治疗特别工作组制定,并得到欧洲心脏病学会心力衰竭协会(HFA)的特别贡献。
Rev Esp Cardiol (Engl Ed). 2022 Jun;75(6):523. doi: 10.1016/j.rec.2022.05.005.