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Pacemaker for Hypertensives

Hypertension patients with difficult-to-control high blood pressure can find new hope. A special pacemaker for hypertensives shows initial successes.

This device is not a conventional heart pacemaker, where the leads are placed in the heart. The device is implanted on the left side of the chest, similar to a heart pacemaker, and stimulates specific points (called baroreceptors) in the left and right carotid arteries, which are responsible for blood pressure regulation. This tricks the body into believing that a higher blood pressure exists than is actually present, prompting a counter-regulation that lowers the blood pressure.

Hypertension Pacemaker
This treatment option is reserved for particularly severe cases of hypertension. The indication is strictly evaluated. The hypertension must have been present for a long time and must not respond to medication therapies or lifestyle changes. Existing organ damage can also indicate the need for implantation of the high blood pressure pacemaker.

In these cases, the high blood pressure pacemaker is a promising model with response rates between 80 and 85 percent.
The pacemaker can be individually programmed for the patient, as the duration, strength, and frequency of the impulses can be changed independently.

So far, this new method is only offered in very few specialized centers. The operating physician needs some experience to locate the designated points in the carotid artery and place the leads. However, the operation itself is not a major procedure, as the vessel does not need to be opened. For the patient, the pacemaker is a significant benefit, as not only does it lead to a noticeable reduction in blood pressure, but existing vascular or kidney damage can also partially reverse.

Sources


This article is from BloodPressureDB the leading app since 2011 that supports hundreds of thousands in blood pressure monitoring every day. Our content is based on carefully researched, evidence-based data and is continuously updated (as of 04/2024).

Author Sabine Croci is a certified medical assistant with many years of experience in internal medicine and cardiology practices as well as in outpatient care, and has been leading the editorial team of BloodPressureDB since 2015. Thanks to her extensive additional qualifications as a paramedic, first responder, and in various therapy and emergency areas, she provides well-founded, practical, and reliably verified information.


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