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Assessment of Vascular Function in Patients With Chronic Kidney Disease
08:50

Assessment of Vascular Function in Patients With Chronic Kidney Disease

Published on: June 16, 2014

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Epidemiology of hypertension in CKD

Bruce Horowitz1, Dana Miskulin1, Philip Zager1

  • 1University of New Mexico, Albuquerque, NM; Tufts University, Boston, MA; and Dialysis Clinic, Inc, Nashville, TN.

Advances in Chronic Kidney Disease
|February 24, 2015
PubMed

Insights

Hypertension (HTN) and chronic kidney disease (CKD) are major health issues. Blood pressure control in CKD patients, especially minorities, remains challenging and suboptimal despite improvements.

Area of Science:

  • Nephrology
  • Cardiology
  • Public Health

Background:

  • Hypertension (HTN) and chronic kidney disease (CKD) are significant, interconnected global health concerns.
  • Approximately 30% of US adults have HTN, and 15% have CKD, with HTN prevalence and control worsening as kidney function declines.
  • CKD etiology, albuminuria, genetics, socioeconomic status, and lifestyle all impact HTN severity and prevalence.

Purpose of the Study:

  • To review the complex relationship between hypertension and chronic kidney disease.
  • To highlight disparities in HTN prevalence, treatment, and outcomes among CKD patients.
  • To discuss challenges in blood pressure control for individuals with CKD.

Main Methods:

  • Literature review and synthesis of current research on HTN and CKD.
  • Analysis of epidemiological data on HTN and CKD prevalence and control.
  • Examination of factors influencing HTN severity and treatment resistance in CKD.

Main Results:

  • HTN is highly prevalent in CKD patients, often more difficult to control, and treatment can be resistant.
  • Racial and ethnic disparities exist in HTN prevalence, BP control, and CKD progression among CKD patients.
  • Blood pressure control in Hispanic and African Americans with CKD is notably worse compared to white individuals.

Conclusions:

  • Despite improvements, blood pressure control in patients with all stages of CKD remains suboptimal.
  • Addressing disparities and improving treatment strategies are crucial for better HTN and CKD management.
  • Further research is needed to elucidate optimal blood pressure targets, particularly in hemodialysis patients.

Keywords:
Chronic kidney diseaseEpidemiologyHealth disparitiesHypertension

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