Related Experiment Video
Updated: Sep 22, 2025
08:50
Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
16.4K
Blood Pressure and Chronic Kidney Disease Progression: An Updated Review
Elmukhtar Habas1,2, Eshrak Habas3, Fahmi Y Khan2,1
1Internal Medicine, Hamad Medical Corporation, Doha, QAT.
Cureus
|May 23, 2022
Summary
Hypertension management is crucial for chronic kidney disease (CKD) patients. Ambulatory blood pressure monitoring (ABPM) aids in diagnosis and follow-up, though cost and familiarity remain challenges.
Area of Science:
- Nephrology
- Cardiology
- Clinical Medicine
Background:
- Hypertension (HTN) is prevalent in chronic kidney disease (CKD) and can accelerate disease progression.
- Optimal blood pressure (BP) targets for CKD patients are not definitively established, but a systolic BP of ≤130 mmHg is widely accepted.
- Continuous BP monitoring is vital for identifying BP variations and assessing treatment efficacy in CKD.
Purpose of the Study:
- To review the association between hypertension and CKD progression.
- To evaluate various BP monitoring methods for CKD patients.
- To identify the optimal BP measurement strategy for CKD management.
Main Methods:
- A non-systematic literature review was conducted.
- Searches were performed on PubMed, EMBASE, Google, Google Scholar, and Web Science.
- Keywords included "hypertension and CKD," "CKD progression," and "BP measurement methods."
Main Results:
- Early detection and management of hypertension are essential for preventing CKD development and progression.
- While Kidney Disease Improving Global Outcomes (KDIGO) guidelines suggest a target systolic BP of ≤120 mmHg, ≤130 mmHg is generally recommended.
- Ambulatory blood pressure monitoring (ABPM) shows promise for diagnosing and monitoring BP control in CKD patients.
Conclusions:
- Ambulatory blood pressure monitoring (ABPM) is a valuable tool for managing hypertension in CKD.
- High cost and patient unfamiliarity are current limitations of ABPM.
- Further research and accessibility improvements are needed to optimize ABPM use in CKD care.
Related Concept Videos
01:25Chronic Kidney Disease I: Introduction
84
Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
84
01:28Chronic Kidney Disease III: Interprofessional Care
89
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
89
01:18Chronic Kidney Disease IV: Nursing Management
63
Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
63
01:18Hypertension and Regulation of Blood Pressure
3.1K
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
3.1K
01:24Chronic Kidney Disease II: Clinical Manifestations
114
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
114
01:30Hypertension III: Clinical Manifestations and Diagnostic Studies
64
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
64