New drugs, procedures, and devices for hypertension

Stéphane Laurent, Markus Schlaich, Murray Esler

Research output: Contribution to journalArticle

105 Citations (Scopus)

Abstract

Successful treatment of hypertension is difficult despite the availability of several classes of antihypertensive drug, and the value of strategies to combat the effect of adverse lifestyle behaviours on blood pressure. In this paper, we discuss two promising therapeutic alternatives for patients with resistant hypertension: novel drugs, including new pharmacological classes (such as vasopeptidase inhibitors and aldosterone synthase inhibitors) and new molecules from present pharmacological classes with additional properties in blood-pressure or metabolism pathways; and new procedures and devices, including stimulation of arterial baroreceptors and catheter-based renal denervation. Although several pharmacological targets have been discovered with promising preclinical results, the clinical development of novel antihypertensive drugs has been more difficult and less productive than expected. The effectiveness and safety of new devices and procedures should be carefully assessed in patients with resistant hypertension, thus leading to a new era of outcome trials and evidence-based guidelines.

Original languageEnglish
Pages (from-to)591-600
Number of pages10
JournalThe Lancet
Volume380
Issue number9841
DOIs
Publication statusPublished - 2012
Externally publishedYes

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