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What are the blood pressure targets for patients with chronic kidney disease?

Ivan Rychlík, Petra Bachroňová, Anna Maršáková

    Vnitrni Lekarstvi
    |September 25, 2020
    PubMed

    Insights

    Cardiovascular diseases are a leading cause of death, with hypertension as a key risk factor. While intensive blood pressure lowering lacks definitive evidence for kidney benefits, targeting blood pressure remains recommended.

    Area of Science:

    • Nephrology
    • Cardiology
    • Hypertension Research

    Background:

    • Cardiovascular (CV) diseases are a primary cause of mortality and morbidity.
    • Hypertension is a significant risk factor for CV diseases, particularly in patients with chronic kidney disease (CKD).

    Purpose of the Study:

    • To evaluate the role of hypertension management in patients with or without CKD.
    • To discuss the recommendations for target blood pressure (BP) in relevant patient populations.

    Main Methods:

    • Review of current guidelines and evidence regarding BP targets.
    • Analysis of the relationship between hypertension, CKD, and cardiovascular outcomes.

    Main Results:

    • Hypertension is a major risk factor for cardiovascular disease and a complication in CKD patients.
    • Definitive evidence for intensive BP lowering improving kidney outcomes is lacking.

    Conclusions:

    • Despite limited evidence on kidney function benefits, adherence to recommended target blood pressure levels is advised.
    • Managing hypertension is crucial for mitigating cardiovascular risks in patients with and without CKD.

    Keywords:
    blood pressurechronic kidney diseasehypertension

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