Examining the provision of renal denervation therapy in low- and middle-income nations: Current landscape, challenges, future prospects-A mini perspective review.

Hareesha Rishab Bharadwaj, Joecelyn Kirani Tan, Syed Hasham Ali, Nicholas Aderinto, Muhammad Hamza Shah, Mohammed Dheyaa Marsool Marsool, Jyoti Jain, Priyal Dalal

Journal: Current problems in cardiology 2024;49(3):102357

PMID: 38141794

Abstract

This paper delves into Renal Denervation Therapy as a promising intervention for resistant hypertension in low- and middle-income countries. With rates of hypertension increasing in LMICs due to lifestyle factors, RDN presents a potentially transformative approach. The methodology involves a comprehensive literature review, focusing on studies in LMICs that unveil proactive developments in standardized guidelines and precision targeting in clinical trials. LMICs actively contribute to research, emphasizing the safety and efficacy of RDN. However, despite these strides, the current landscape reveals challenges, encompassing initial costs, economic disparities, and limitations in healthcare infrastructure. Despite these hurdles, the paper envisions promising future prospects, emphasizing innovative strategies for cost-effective RDN implementation. It advocates for global collaboration and partnerships with international organizations, proposing the expansion of the Global SYMPLICITY Registry to include more LMICs; a testament to a commitment to research advancement. The paper concludes by highlighting comprehensive strategies to overcome challenges, making RDN financially viable in resource-limited settings. It underscores the potential for RDN to enhance global healthcare outcomes, particularly in regions grappling with diverse economic and healthcare challenges.

Copyright © 2023 The Author(s). Published by Elsevier Inc. All rights reserved.

Address: Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, United Kingdom. Electronic address: [email protected].; Faculty of Medicine, University of St Andrews, St Andrews, Scotland, United Kingdom.; Faculty of Medicine, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan.; Internal Medicine Department, LAUTECH Teaching Hospital, Oyo, Nigeria.; School of Medicine, Queen's University Belfast, Belfast, United Kingdom.; Al-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq.; Intern, Department of Internal Medicine, All India Institute of Medical Sciences (AIIMS), Jodhpur, Rajasthan, India.; School of Medicine, University of Central Lancashire, Preston, United Kingdom.
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