Optimizing blood pressure control in patients with nondiabetic glomerular disease

Adv Chronic Kidney Dis. 2014 Mar;21(2):200-4. doi: 10.1053/j.ackd.2014.01.006.

Abstract

Hypertension is a common problem among patients with glomerular disease and CKD. Optimal blood pressure targets for these patients have been the source of much debate. Careful review of the available data supports a blood pressure target of less than 140/90 mmHg. Consideration for a lower goal of less than 130/80 mmHg should be given for patients with heavy proteinuria. Renin-angiotensin system inhibitors should be used as the cornerstone of therapy for all patients with glomerular disease and CKD.

Keywords: CKD; Glomerular disease; Hypertension.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Angiotensin II Type 1 Receptor Blockers / therapeutic use*
  • Angiotensin-Converting Enzyme Inhibitors / therapeutic use*
  • Diet, Sodium-Restricted*
  • Humans
  • Hypertension / complications
  • Hypertension / therapy*
  • Patient Care Planning
  • Proteinuria / complications
  • Renal Insufficiency, Chronic / complications
  • Renal Insufficiency, Chronic / therapy*
  • Severity of Illness Index
  • Smoking Cessation*

Substances

  • Angiotensin II Type 1 Receptor Blockers
  • Angiotensin-Converting Enzyme Inhibitors