Hypertension Unit, Hospital 12 de Octubre, Av. Cordoba, s/n., 28041, Madrid, Spain.
Curr Hypertens Rep. 2010 Aug;12(4):307-12. doi: 10.1007/s11906-010-0129-z.
Chronic kidney disease is a leading global health problem with an increasing prevalence. Hypertension is present in most patients with chronic kidney disease, and hypertension-related nephrosclerosis is a top cause of progressive renal damage and end-stage renal disease. Systolic blood pressure (BP) and pulse pressure, together with nocturnal BP, are the most important factors favoring the progression of renal failure. Consequently, strict control of BP and other cardiovascular risk factors is required, including an adequate degree of suppression of the renin-angiotensin system in every patient.
慢性肾脏病是一个全球性的主要健康问题,其发病率不断上升。大多数慢性肾脏病患者都存在高血压,而与高血压相关的肾动脉硬化是导致进行性肾损伤和终末期肾病的主要原因。收缩压(BP)和脉压,以及夜间血压,是促进肾衰竭进展的最重要因素。因此,需要严格控制血压和其他心血管危险因素,包括每个患者都要充分抑制肾素-血管紧张素系统。