[Possibilities of outpatient renoprotective therapy]

To show feasibility of conducting nephroprotective therapy in conditions of a municipal diagnostic center.

The nephrologist of the city diagnostic center followed up for 2 years 9 patients with different nephropathies comorbid with arterial hypertension, hyperlipidemia and slowly progressive renal failure aged 44-77 years. The course of nephropathy for 1 year before and 1 year after correction with nephroprotective therapy (arterial pressure control and treatment with ACE inhibitors and statins) was analysed.

Before the start of nephroprotective measures all the patients experienced a slow progression of renal failure. After administration of ACE inhibitors in doses lowering arterial pressure not higher than 130/80 mm Hg and statins reducing serum cholesterol nitric residues stopped accumulating while serum creatinine went down after 5 months of the combined treatment.

It is feasible to conduct a renoprotective policy with a control of therapeutic efficacy in outpatients of a municipal diagnostic center.