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[Guidelines for hypertension management in patients with chronic kidney disease in China (2023)]
Insights
Managing hypertension in Chinese chronic kidney disease (CKD) patients is crucial. This guideline provides standardized diagnosis and treatment strategies to improve outcomes for CKD patients with high blood pressure.
Area of Science:
- Nephrology
- Cardiology
- Internal Medicine
Context:
- Hypertension in chronic kidney disease (CKD) patients in China presents complex challenges with high incidence and low control rates.
- Existing clinical guidelines inadequately address the specific needs of diagnosing and treating hypertension in Chinese CKD populations.
Purpose:
- To establish a comprehensive guideline for the diagnosis, treatment, and management of hypertension in Chinese patients with CKD.
- To standardize clinical practices and improve the prognosis of hypertension in this vulnerable patient group.
Summary:
- This guideline systematically covers diagnostic criteria, epidemiology, risk factors, and prognostic indicators of hypertension in CKD.
- It details the objectives, timing, and target blood pressure goals for antihypertensive therapy, including special populations.
- Recommendations encompass non-pharmacological and pharmacological treatments for hypertension in CKD patients.
Impact:
- Aims to enhance the management of hypertension in CKD patients, thereby reducing complications.
- Expected to delay the progression of kidney disease and improve the long-term prognosis for Chinese CKD patients with hypertension.
Abstract:
The population of chronic kidney disease (CKD) with hypertension in China is characterized by complex etiology, high incidence rate, low awareness and control rate. How to diagnose and treat hypertension in CKD patients properly and improve their prognosis is particularly urgent. Several clinical guidelines or expert consensus on the diagnosis, treatment and management of hypertension have been issued. Some of them involve the diagnosis and treatment of hypertension in CKD patients, but they still can not meet the demand for diagnosis and treatment of hypertension in CKD patients. Based on the situation of hypertension in CKD patients in China, the Chinese Society of Nephrology organized an expert group to formulate this guideline. This guideline systematically introduces the diagnostic criteria, epidemiology, risk factors, poor prognosis of hypertension, the purpose, timing and control goals of antihypertensive therapy in CKD patients, as well as blood pressure control goals for special populations, non drug treatment and drug treatment of hypertension. This guideline aims to further strengthen the management of hypertension in CKD patients, standardize the diagnosis and treatment standards, formulate reasonable treatment plans, effectively control hypertension, reduce complications, so as to delay the progress of kidney diseases and improve the long-term prognosis of hypertension in Chinese CKD patients.
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