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Renal damage in hypertension

L M Ruilope1

  • 1Department of Hypertension, Hospital 12 de Ocubre, Madrid, Spain.

Journal of Cardiovascular Risk
|February 1, 1995
PubMed
Summary
This summary is machine-generated.

Kidneys play a dual role in hypertension, contributing to its development and suffering damage. Early essential hypertension often involves renal vasoconstriction, leading to impaired kidney function and potential nephrosclerosis.

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Area of Science:

  • Nephrology
  • Cardiovascular Medicine
  • Hypertension Research

Background:

  • The kidney is implicated as both a cause and a victim in the hypertensive process.
  • Renal dysfunction contributes to arterial hypertension and secondary vascular damage.
  • Progressive nephrosclerosis is a consequence of deranged renal function in hypertension.

Purpose of the Study:

  • To elucidate the role of the kidney in the hypertensive process.
  • To identify early alterations in renal function associated with essential hypertension.
  • To describe the progression of renal damage in persistent hypertension.

Main Methods:

  • Analysis of renal function markers in patients with hypertension.
  • Observation of changes in glomerular filtration rate and urinary protein excretion.

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  • Assessment of renal vasoconstriction and associated biochemical changes.

    • Main Results:

    • Renal vasoconstriction is a common early finding in essential hypertension.
    • Hyperuricaemia and increased urinary excretion of N-acetyl-beta-glucosaminidase, albumin, and beta 2-microglobulin are associated findings.
    • Persistent hypertension can lead to a progressive decline in glomerular filtration rate and proteinuria.

    Conclusions:

    • The kidney is central to the pathogenesis and progression of hypertension.
    • Early detection of renal functional alterations is crucial for managing hypertension.
    • Understanding these renal changes can inform strategies to prevent hypertensive kidney damage.