ARTERIAL-HYPERTENSION IN PATIENTS WITH RENAL-DISEASE

This retrospective study included 406 patients with hypertension admitted to the Department of Nephrology of the Ibn Rochd Teaching Hospital between January 1982 and December 1991. Arterial hypertension was found in 19 % of all patients. Mean age was 40 years. Forty-seven per cent of patients were females and 53 % were males. Renal function was often altered. Glomerular and interstitial renal disease were by far the leading causes. Polycystic kidney disease was found in 3 % of patients and renovascular hypertension with renal artery stenosis in 2 %. Severe arterial blood pressure with target-organ damage required drug therapy in 58 % of cases, whereas dialysis had a very beneficial effect on blood pressure in 7 % of patients. A favorable short-term outcome with normalization of blood pressure values was seen in 87 % of patients. However, long-term outcome was difficult to evaluate. There were 19 deaths, of which most were caused by renal failure and dialysis-related adverse events.