2018 ESC/ESH guidelines about new methods of treatment of hypertension — “DEVICE-BASED TREATMENT”

Abstract

Arterial hypertension (HTN) needs new treatment methods, including invasive ones, because HTN has severe consequences and involves all regulating systems (neuro-cardio-renal/cerebral continuum). It is often associated with comorbid pathology (obesity, atherosclerosis, sleep disorder, diabetes mellitus, etc.). The paper presents a summary of the position of the European experts on some invasive methods of HTN treatment — “DEVICE-BASED TREATMENT” (DBT) in the section of new recommendations of the European Societies of Cardiology/Hypertension (2018 ESC/ESH Guidelines for the management of arterial hypertension), including carotid baroreceptor stimulation, renal denervation, arteriovenous fistula formation and other. The experts do not recommend to use DBT in routine practice, confirm high requirement and demand of clinical and basic investigations to prove their safety and efficiency.