Review of Diagnosis and Management of Resistant Hypertension
· 2026-08-18 · 原文 · 证据态 未学
To the Editor We read with interest the recent comprehensive Review on the management of resistant hypertension. We have concerns, however, about a disconnect between the article’s evidence and the article’s Abstract conclusion, which seemed to equate the efficacy of spironolactone and renal denervation. Elevating renal denervation to the same level as spironolactone is not endorsed by the 2025 American Heart Association/American College of Cardiology high blood pressure guidelines. In fact, these guidelines discuss renal denervation as a potential consideration only after mineralocorticoid receptor antagonists.
讲义
讲义·推断 依据「原文」自动生成的结构化摘要（推断），非原文表述；以原文为准。
1. 人话版
To the Editor We read with interest the recent comprehensive Review on the management of resistant hypertension.
We have concerns, however, about a disconnect between the article’s evidence and the article’s Abstract conclusion, which seemed to equate the efficacy of spironolactone and renal denervation.
2. 领域脉络
来源板块：板块二 · 顶级期刊。
3. 机制拆解
摘要未展开方法细节——精读时重点看方法/模型部分。
4. 证据与数字
Elevating renal denervation to the same level as spironolactone is not endorsed by the 2025 American Heart Association/American College of Cardiology high blood pressure guidelines.
5. 反例与边界
In fact, these guidelines discuss renal denervation as a potential consideration only after mineralocorticoid receptor antagonists.
6. 跨领域连接与意外收获
思考本文机制能否迁移到你正在跟进的问题。
7. 可复用方法
把本文机制与你手头项目对照，找一个两周内能验证的最小实验。
8. 术语表
精读时把不熟的术语记入此处，作为下次回忆的锚点。
主动回忆
先合上内容自己复述，再点「显示」核对，然后如实自评。评分即时进 FSRS 排程。
讲义·推断 依据「原文」自动生成的结构化摘要（推断），非原文表述；以原文为准。
1. 人话版
To the Editor We read with interest the recent comprehensive Review on the management of resistant hypertension.
We have concerns, however, about a disconnect between the article’s evidence and the article’s Abstract conclusion, which seemed to equate the efficacy of spironolactone and renal denervation.
2. 领域脉络
来源板块：板块二 · 顶级期刊。
3. 机制拆解
摘要未展开方法细节——精读时重点看方法/模型部分。
4. 证据与数字
Elevating renal denervation to the same level as spironolactone is not endorsed by the 2025 American Heart Association/American College of Cardiology high blood pressure guidelines.
5. 反例与边界
In fact, these guidelines discuss renal denervation as a potential consideration only after mineralocorticoid receptor antagonists.
6. 跨领域连接与意外收获
思考本文机制能否迁移到你正在跟进的问题。
7. 可复用方法
把本文机制与你手头项目对照，找一个两周内能验证的最小实验。
8. 术语表
精读时把不熟的术语记入此处，作为下次回忆的锚点。