New Breakthrough Treatment Could Cure Thousands of High Blood Pressure Cases

Researchers in London and Cambridge have developed a minimally invasive procedure called targeted thermal therapy (TTT) to tackle primary aldosteronism, a condition responsible for 5% of all high blood pressure cases. This condition occurs when small nodules on the adrenal glands cause excessive salt retention in the body, leading to dangerously high blood pressure levels—sometimes reaching 200/130, far above the healthy 120/80 range.
A Quick and Effective Alternative
TTT, also known as endoscopic ultrasound-guided radiofrequency ablation, works by using short bursts of heat to destroy the nodules causing excessive aldosterone production. Unlike traditional surgery to remove an entire adrenal gland, which requires general anesthesia and a hospital stay of several days, TTT takes just 20 minutes under sedation, allowing patients to go home the same day.
A recent 28-patient trial, published in The Lancet, showed promising results:
- 4 patients were able to stop taking medication entirely.
- 12 patients saw significant improvements in blood pressure or needed fewer drugs.
- The treatment successfully reduced excess aldosterone production in 75% of participants.
Transforming Lives
Professor Morris Brown, an expert in endocrine hypertension at Queen Mary University of London and Barts Health NHS Trust, believes this technique could be life-changing for many. “For years, people with this type of high blood pressure had no real alternative to daily medication or major surgery,” he said. “Now, we can remove the problem at its source with a simple procedure and some patients see their blood pressure return to normal the very next day.”
The treatment is currently being tested in a larger 110-patient trial to further assess its effectiveness.
Dr. Pauline Swift, chair of Blood Pressure UK, called the findings “very encouraging” and highlighted the potential for thousands of people to benefit from the new therapy. “High blood pressure is a leading cause of heart attacks, strokes, and kidney disease, yet it often goes unnoticed until serious complications arise,” she said.
If larger trials confirm these promising results, TTT could become a game-changer for those struggling with hypertension due to primary aldosteronism, offering them a safe, effective, and long-term solution.