[Resistant hypertension in non-dialysis chronic kidney disease]

Autor: S, Borrelli, R, Minutolo, M, Calabria, M, Grimaldi, R, Di Pietro, G, Donnarumma, P L, D'Angio', G, Conte, L, De Nicola
Rok vydání: 2009
Předmět:
Zdroj: Giornale italiano di nefrologia : organo ufficiale della Societa italiana di nefrologia. 26(3)
ISSN: 0393-5590
Popis: Resistant hypertension is defined as blood pressure that remains above the target of140/90 mm Hg in the general population and130/80 mm Hg in people with diabetes mellitus or chronic kidney disease (CKD) in spite of the use of at least three full-dose antihypertensive drugs including a diuretic, or as blood pressure that reaches the target by means of four or more drugs. Hypertension is a frequent complication in CKD and a determining factor in the progression of renal damage, especially in proteinuric and diabetic patients, as well as contributing to a high cardiovascular risk. Clinical practice guidelines recommend blood pressure levels below 130/80 mm Hg in all CKD patients, but the target is reached in only a small proportion (10-20%), both in nephrology and non-nephrology settings. The resistance to antihypertensive treatment may be considered one of the causes of the poor achievement of blood pressure targets in CKD patients.
Databáze: OpenAIRE