Hypertension

Renal denervation for hypertension management in the UK: a Delphi expert consensus

HeartPublished modified Delphi method

Authors' conclusion

This expert consensus defines patient selection criteria for RDN and provides 11 recommendations to support its use. RDN should be considered for resistant hypertension or intolerance to medications, using a multidisciplinary approach. Implementation of these recommendations could guide clinical practice, inform commissioning and support National Institute for Health and Care Excellence reviews, ultimately improving patient access across the UK.

Study context

Population
UK clinicians involved in hypertension managementresponses from interventional cardiologists and radiologists, cardiologists, clinical pharmacologists and nephrologists
Participants
125 clinicians
Outcome
Consensus achieved on statements
Methodological detailsmultidisciplinary consensus, online survey, four-point Likert scale, consensus predefined as 75% agreement
  • Multidisciplinary consensus
  • Online survey
  • Four-point Likert scale
  • Consensus predefined as 75% agreement

Recommendations

As reported in the abstract

Consensus achieved for 37 out of 40 statements

93%

Key recommendations developed by the steering group (SG)

11

Original publication

Renal denervation for hypertension management in the UK: a Delphi expert consensus. Heart. Published 17 November 2025. doi:10.1136/heartjnl-2025-327110

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