Sympathetic hyperactivity is a causal or a promoting factor in many diseases, under these conditions, some morphology changes due to the hyperactivity occur. Renal nerve is an important part in the autonomic nervous system regulation, especially in cardiovascular system, the modulation of the renal nerves used as a therapeutic strategy has been researched across the world. The purpose of this study is to evaluate and quantify the morphology changes in different diseases, make the modulation therapy more selective and effective.
People eligible for this study will be divided into 4 groups according to the eligibility criteria(Resistant Hypertension Group,Essential Hypertension Group, Chronic Heart Failure Group and Control Group), about 15 objects for each, totally 60 objects are going to be recruited. Before the intravascular ultrasound examination, ambulatory blood pressure, ECG, plasma catecholamine hormones, renin-angiotension-aldosterone, ect. will be measured. An intravascular ultrasound examination will be taken after all of these have been done.
Study Type
OBSERVATIONAL
Enrollment
60
The 2nd Affiliated Hospital of Chongqing Medical University
Chongqing, Chongqing Municipality, China
RECRUITINGNumber increase of Renal nerves in patients with sympathetic over-activity diseases
Total number of the renal nerve of each patient(automatic identification by the embedded software in the ultrasound imaging host/counting manually): Number of Nerve Bundles;
Time frame: A duration of the whole research stage, an expected average of 1/2 year
Area increase of Renal nerves in patients with sympathetic over-activity diseases
Total area of the renal nerve (measured by ultrasound imaging host) of each patient: square millimeter (mm²)=∑= Nerve 1(length\*width)+ Nerve 2(length\*width)+ ......+ Nerve n(length\*width);
Time frame: A duration of the whole research stage, an expected average of 1/2 year
The increase of the ratio of nerve area/artery wall area in patients with sympathetic over-activity diseases.
1. Renal artery area of each patient (measured by ultrasound imaging host): Square millimeter (mm²); 2. Renal arterial wall area (measured by ultrasound imaging host) of each patient: Square millimeter (mm²); 3. Total area of the renal nerve/Total renal artery area: percentage (%); 4. Total area of the renal nerve/Total renal arterial wall area: percentage (%);
Time frame: A duration of the whole research stage, an expected average of 1/2 year
Number of Participants with Serious and Non-Serious Adverse Events Related to The Intervention Procedure
Renal arteriography will be carried out post operation to evaluate the possibility of renal artery injuries caused by this procedure, which including: 1. Emerging renal artery dissection; 2. Emerging renal artery stenosis, which will not improve by the intravascular injection of nitroglycerin; 3. Emerging renal artery rupture or perforate; 4. Contrast-induced nephropathy 5. Any other complications related to this intervention procedure, such as catheter breakage, infection, hematoma ect.
Time frame: Participants will be followed for the duration of the operation time, an expected average of 0.5-1 hours
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.