Upon evaluation for resistant hypertension, medication will be reassesed and surgery may be considered, depending on results from diagnostic tests.
Changes may be recommended in order to reduce overall hypertension. This would include watching your diet and keeping sodium intake low, keeping a home blood pressure log, attending educational workshops, reducing or managing stress, limiting alcohol consumption, giving up smoking.
Renal denervation is a new treatment for resistant hypertension that targets the nerves near the kidneys responsible for regulating blood pressure. Surgeons once attempted to relieve hypertension by severing these renal artery nerves, which resulted in lowering blood pressure too far.
By contrast, renal denervation silences a few, targeted nerves to restore healthy blood pressure. It does so with heat energy delivered by a catheter, a thin tube threaded through an artery. This minimally invasive procedure is currently in clinical trials at medical centers nationwide. Our program is the only West Coast participant in this trial.