Potassium Binders as RAAS Enablers — EECC MCQ
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Correct answer: C — Specialist consideration of renal denervation
Catheter-based renal denervation can modestly lower blood pressure in selected patients with uncontrolled hypertension, but it does not replace lifestyle or medicines and is not first-line. Confirmation with out-of-office BP, adherence assessment, anatomy and shared discussion of uncertain individual response are essential. Apply this conclusion only to the clinical circumstances stated, with appropriate specialist review, contraindication checks, shared decision-making and follow-up. Reassess if the physiology, treatment response or competing risk changes. The competing options would require a different haemodynamic profile, diagnosis, procedural indication or risk balance from the one described here.
Reference: 2024 ESC Guidelines for elevated blood pressure and hypertension. https://www.escardio.org/guidelines/clinical-practice-guidelines/elevated-blood-pressure-and-hypertension/