00:00Look, this surgery is done by Durbin, so generally we do this in patients whose blood pressure is not controlled from the disease.
00:09So, this patient has 6 patients with blood pressure.
00:15In these 6 patients, the patient's blood pressure is going to 170-180 patients.
00:21The patient's age was 48 years ago, so it was relatively preserved patient.
00:26So, when the patient's blood pressure is not controlled in six medicines,
00:29there are long-term life expectancy and side effects in such high blood pressure in different organs.
00:35So, we have first worked up the patient's blood tests to see that there is no secondary cause
00:41due to which the blood pressure is increased by treating the patient's blood pressure.
00:46So, the blood tests have many parameters that are checked and checked.
00:51So, the patient has been admitted to two weeks to see that there is no compliance to the patient.
00:55So, it is not that there is no medicine for the patient.
00:57And we think that the patient's blood pressure is increased and we need to treat treatment.
01:00So, after the compliance check, all the blood tests, ultrasound kidneys,
01:05well, after the heartbeat of the kidney, the Doppler test,
01:09the arteries and the arteries are השed via the kidney,
01:11it is likely that there is no blockage in it.
01:12Sometimes, because of that, the blood pressure is not controlled
01:15and it becomes improved due to the infections.
01:16So, these batteries have been tested,
01:18to rule out that there is no secondary cause.
01:21So, after the patient's during this disease,
01:23there is no damage passed from the patient.
01:26So, after the patient's blood pressure has been evaluated,
01:28and generally 90% of the high blood pressure are idiopathic,
01:33without any current, lifestyle related or stress related.
01:37So, since the patient was young and all the organs had to be affected
01:43in long term, so consistently high blood pressure,
01:47so this is a new therapy in which we go to the kidney's arteries
01:51and all the branches, we burn the nerves.
01:56So, we have a lot of studies in which we have seen that
02:01the nerves, because generally uncontrolled blood pressure
02:04in those patients with no secondary cause,
02:06they are due to sympathetic over activity
02:09and generally sympathetic activity,
02:11the renal arteries of the nerves originates from there.
02:14So, we burn those nerves from the distance.
02:18Normally, there are many branches of one artery,
02:21which is above the 3 mm,
02:23and we burn it, because it becomes significant.
02:26One more thing,
02:28as I said today,
02:30when I was told that the lifestyle of my brain is seen,
02:33so, what kind of type do we have?
02:37And what kind of type do we have?
02:39And what kind of situation do we have?
02:41I'm sure that the stress is generally lower,
02:44the stress should always be low,
02:46the pressure should usually be less from the day to the day.
02:51The stress should always be low,
02:52the stress should always be low,
02:53the stress should always be low in the morning,
02:55for 5 days,
02:57vegetables and vegetables
02:59in a diet,
03:01in a good way,
03:03not less or less,
03:05generally avoid fast food,
03:07pizzas, burgers,
03:09they should avoid yoga,
03:11meditation, regular exercise,
03:13any kind of exercise,
03:15not only yoga,
03:17but no sedentary lifestyle
03:19for half an hour,
03:21you have to get a very
03:23sanitary lifestyle, desk job
03:25so after working a little bit
03:27after working a little in the office,
03:29it will be different from that
03:31if people have reasons
03:33that we don't have time
03:35so if there are stairs in the office
03:37then do not do this,
03:39do not do the lift,
03:41you go up to the stairs,
03:43it will be different from that way,
03:45so if you go to the morning walk
03:47but if patients have reasons
03:49for not going for a morning walk
03:51so in the office,
03:53there are many ways in which patients
03:54can stay active,
03:55going to the stairs,
03:57or in the corridor,
03:59after working a little while
04:01you walk a little bit,
04:03you can also get a little
04:05sanitary lifestyle.
04:07you can see
04:09specific situation
04:11if you see
04:12number 3 years
04:13see,
04:14normally
04:151% patients
04:161-3% patients
04:17had
04:18blood pressure
04:19uncontrolled
04:20on medications
04:21okay,
04:22but now
04:23besides medicine
04:24there was no specific treatment
04:25for patients
04:26so
04:27we work up
04:28for secondary causes
04:29so
04:30they can be treated
04:31and
04:32they can be treated
04:34and
04:36generally
04:37majority
04:38of patients
04:39with blood pressure
04:40not controlled
04:41they have
04:42kidney patients
04:43who have kidney function
04:44deranged
04:45and have kidney problem
04:46so
04:47in patients
04:48there are multiple
04:49medications
04:50requirements
04:51and
04:52now
04:53the news
04:54is
04:55first
04:56was recommended
04:57for normal kidney functions
04:58and
04:59we have data
05:00that
05:01patients
05:02have kidney function
05:03deranged
05:04and
05:05bad
05:06and
05:07blood pressure
05:08is not controlled
05:09by multiple medicines
05:10so
05:11this is also
05:12effective
05:13in those patients
05:14this is also
05:15effective
05:16in the first
05:17trials
05:18they have
05:19excluded
05:20but
05:21when
05:22they have
05:23success
05:24in normal kidney functions
05:25then
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