Blood pressure level and kidney disease progression: Do we really need to go to 130/80 mm Hg?

被引:1
作者
Abu Jawdeh, Bassam G. [1 ]
Rahman, Mahboob [1 ]
机构
[1] Univ Hosp Case Med Ctr, Div Nephrol & Hypertens, Cleveland, OH 44106 USA
关键词
ANGIOTENSIN-CONVERTING-ENZYME; STAGE RENAL-DISEASE; DEPENDENT DIABETES-MELLITUS; 9 GENE MYH9; CARDIOVASCULAR OUTCOMES; HYPERTENSIVE PATIENTS; CLINICAL PROTEINURIA; RISK-FACTOR; FOLLOW-UP; INHIBITION;
D O I
10.1007/s11906-009-0060-3
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Current guidelines recommend a blood pressure goal of less than 130/80 mm Hg in patients with chronic kidney disease. Considerable epidemiologic observational data, post hoc analyses of clinical trials, and meta-analyses support this goal, particularly in patients with proteinuria. Although prospective clinical trials have not shown a clear benefit, recent data indicate that a longer duration of follow-up may be needed to assess the effects of different blood pressure goals. While we await the results of several ongoing and planned studies in this area, the current recommendations of a blood pressure goal less than 130/80 mm Hg appear reasonable.
引用
收藏
页码:363 / 367
页数:5
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