Blood pressure level and kidney disease progression: do we really need to go to 130/80 mm Hg?
Curr Hypertens Rep 2010;
11:363-7. [PMID:
19737453 DOI:
10.1007/s11906-009-0060-3]
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Abstract
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.
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