Long-term effects of baroreflex activation therapy: 2-year follow-up data of the BAT Neo system

Objective Baroreflex activation therapy (BAT) reduces office blood pressure (BP) in patients with resistant hypertension (HTN). Whereas sustained effects from the BAT Rheos device have already been reported, no long-term data on 24-h ambulatory BP (ABP) are currently available for the unilateral BAT...

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Veröffentlicht in:Clinical research in cardiology 2020-04, Vol.109 (4), p.513-522
Hauptverfasser: Wallbach, Manuel, Born, Ellen, Kämpfer, Deborah, Lüders, Stephan, Müller, Gerhard A., Wachter, Rolf, Koziolek, Michael J.
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Sprache:eng
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Zusammenfassung:Objective Baroreflex activation therapy (BAT) reduces office blood pressure (BP) in patients with resistant hypertension (HTN). Whereas sustained effects from the BAT Rheos device have already been reported, no long-term data on 24-h ambulatory BP (ABP) are currently available for the unilateral BAT Neo device. Methods Patients treated with the BAT neo device for resistant hypertension were prospectively included into this observational study. Office and ABP measurements were performed before BAT implantation as well as 6, 12 and 24 months after initiation of BAT. Results A total of 60 patients with resistant HTN (office BP 172 ± 25/90 ± 17 mmHg, 24-h ABP 150 ± 16/80 ± 12 mmHg, median of antihypertensive drugs 7 (IQR 6–8)) were included. After 24 months, there was a significant reduction of − 25 ± 33/− 9 ± 18 mmHg ( n  = 50, both p  
ISSN:1861-0684
1861-0692
DOI:10.1007/s00392-019-01536-5