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Review

The Potential Role of Renal Denervation in the Management of Heart Failure

1
Division of Cardiology, Borgess Heart Institute, 1521 Gull Road, Kalamazoo, MI 49048, USA
2
Division of Cardiology, Michigan State University, Kalamazoo, MI 49048, USA
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2022, 11(14), 4147; https://doi.org/10.3390/jcm11144147
Submission received: 16 June 2022 / Revised: 14 July 2022 / Accepted: 15 July 2022 / Published: 17 July 2022
(This article belongs to the Section Cardiovascular Medicine)

Abstract

Sympathetic nervous system activation in patients with heart failure is one of the main pathophysiologic mechanisms associated with the worse outcomes. Pharmacotherapies targeting neurohormonal activation have been at the center of heart failure management. Despite the advancement of therapies and the available treatments, heart failure continues to have an overall poor prognosis. Renal denervation was originally developed to lower systemic blood pressure in patients with poorly controlled hypertension, by modulating sympathetic outflow. However, more recently, multiple studies have investigated the effect of renal denervation in heart failure patients with both preserved (HFpEF) and reduced ejection fractions (HFrEF). This paper provides an overview of the potential effect of renal denervation in altering the various pathophysiologic, sympathetically mediated pathways that contribute to heart failure, and reviews the literature that supports its future use in those patients.
Keywords: renal denervation; heart failure; therapies renal denervation; heart failure; therapies

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MDPI and ACS Style

Kassab, K.; Soni, R.; Kassier, A.; Fischell, T.A. The Potential Role of Renal Denervation in the Management of Heart Failure. J. Clin. Med. 2022, 11, 4147. https://doi.org/10.3390/jcm11144147

AMA Style

Kassab K, Soni R, Kassier A, Fischell TA. The Potential Role of Renal Denervation in the Management of Heart Failure. Journal of Clinical Medicine. 2022; 11(14):4147. https://doi.org/10.3390/jcm11144147

Chicago/Turabian Style

Kassab, Kameel, Ronak Soni, Adnan Kassier, and Tim A. Fischell. 2022. "The Potential Role of Renal Denervation in the Management of Heart Failure" Journal of Clinical Medicine 11, no. 14: 4147. https://doi.org/10.3390/jcm11144147

APA Style

Kassab, K., Soni, R., Kassier, A., & Fischell, T. A. (2022). The Potential Role of Renal Denervation in the Management of Heart Failure. Journal of Clinical Medicine, 11(14), 4147. https://doi.org/10.3390/jcm11144147

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