Guidelines updated for managing blood pressure in kidney patients not on dialysis

(HealthDay)—For patients with high blood pressure (BP) and chronic kidney disease (CKD) who are not receiving dialysis, a systolic BP of under 120 mm Hg measured by standardized technique should be targeted, according to a synopsis of the Kidney Disease: Improving Global Outcomes 2021 clinical practice guideline published online June 22 in the Annals of Internal Medicine.

Charles R.V. Tomson, B.M., B.Ch., D.M., from Newcastle upon Tyne Hospitals NHS Trust in the United Kingdom, and colleagues provided 11 recommendations and 20 practice points for the management of BP in patients with CKD who are not receiving dialysis.

The authors recommend standardized office BP measurement in preference to routine office BP measurement for management of high BP; standardized office BP refers to measurements obtained according to recommended preparations and measurement techniques. For patients with high BP and CKD not receiving dialysis, sodium intake of under 2 g/day is recommended. Patients with high BP and CKD are advised to undertake moderate-intensity physical activity for at least 150 minutes/week or to a level compatible with their cardiovascular and physical tolerance. Adults with high BP and CKD should be treated with a target SBP of under 120 mm Hg, when tolerated. Renin-angiotensin system inhibitor (RASI) therapy is recommended for those with high BP, CKD, and severely increased albuminuria without diabetes and for those with high BP, CKD, and moderately to severely increased albuminuria with diabetes. RASI therapy is suggested for those with high BP, CKD, and moderately increased albuminuria without diabetes.

“The work group recognizes that the risks for cardiovascular disease and death are greater than the risk for kidney failure in most individuals living with CKD,” the authors write.

Several authors disclosed financial ties to the pharmaceutical industry.

Guidelines developed for diabetes management in CKD

More information:
Abstract/Full Text

Editorial (subscription or payment may be required)

Copyright © 2021 HealthDay. All rights reserved.

Guidelines updated for managing blood pressure in kidney patients not on dialysis (2021, June 22)
retrieved 23 June 2021

This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no
part may be reproduced without the written permission. The content is provided for information purposes only.

Source link


The leading source for trustworthy and timely health and medical news and information. Providing credible health information, supportive community, and educational services by blending award-winning expertise in content, community services, expert commentary, and medical review. Everything about health is here with the difference of Dr.About

Related Articles

Leave a Reply

Back to top button