Wojtaszek Ewa, Głogowski Tomasz
Katedra i Klinika Nefrologii, Dializoterapii i Chorób Wewnętrznych WUM, Warszawa, Polska,
Katedra i Klinika Nefrologii, Dializoterapii i Chorób Wewnętrznych WUM, Warszawa, Polska.
Wiad Lek. 2016;69(5):742-744.
Optimal blood pressure control is a key measure in slowing the progression of kidney disease and reducing the cardiovascular risk in patients with chronic kidney disease, although the target BP remain controversial. The SPRINT (Systolic Blood Pressure Intervention Trial) demonstrated that intensive treatment of hypertension brings a spectacular reduction in the risk of major cardiovascular events and all-cause mortality in older non-diabetic patients at high cardiovascular risk and chronic kidney disease and mild proteinuria.
尽管血压目标仍存在争议,但最佳血压控制是减缓肾病进展和降低慢性肾病患者心血管风险的关键措施。收缩压干预试验(SPRINT)表明,强化治疗高血压可使心血管风险高、患有慢性肾病和轻度蛋白尿的老年非糖尿病患者的主要心血管事件风险和全因死亡率大幅降低。