Managing Hypertension in Patients with CKD

A new guideline addresses blood pressure measurement, targets, and medications.

Sponsoring Organization: Kidney Disease: Improving Global Outcomes (KDIGO)

Background

For patients with chronic kidney disease (CKD), adequate blood pressure (BP) control helps prevent adverse cardiovascular events and progression of kidney disease. Although a systolic BP (SBP) goal of <140 mm Hg is well-established for limiting CKD progression, evidence for a stricter target (i.e., SBP <120 mm Hg) is more limited. To guide clinicians in caring for patients with hypertension and CKD who are not receiving dialysis, a multidisciplinary group makes 11 core recommendations and 20 practice points.

Key Recommendations

Standardized BP measurement:

BP should be measured using proper preparation, positioning, and technique. Routine office BP measuremen…

Reviewing Authors

Pamela D. Vohra-Khullar, MD, FACP

Daniel D. Dressler, MD, MSc, MHM, FACP

Disclosures

RoyaltiesMcGraw-Hill; Elsevier

Editorial BoardsMedical Clinics of North America; Caribbean Medical Journal International Advisory Panel (2021–2026)