Rubin Sébastien, Boulestreau Romain, Couffinhal Thierry, Combe Christian, Girerd Xavier
Service de néphrologie, transplantation rénale, dialyse et aphérèses, hôpital Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux cedex, France; Unité Inserm U1034, university Bordeaux, Bordeaux, France.
Service de cardiologie et hypertension artérielle, hôpital de Pau, 4, boulevard Hauterive, 64064 Pau, France.
Nephrol Ther. 2020 Nov;16(6):347-352. doi: 10.1016/j.nephro.2020.10.001. Epub 2020 Oct 14.
In France, 1 adult out of 3 is affected by hypertension and only 1 hypertensive out of 4 achieves blood pressure targets (<140/90mmHg). This proportion is significantly better in similar countries (e.g. England, Germany, the USA). Nephrologists are particularly concerned since although more than 90 % of Chronic Kidney Disease (CKD) stages 3 and 4 patients are hypertensive, the CKD-REIN cohort shows that in France more than 1 out of 2 patients with CKD remains with a blood pressure above 140/90mmHg. This report, based on the latest French studies and surveys, raises an important warning about the situation in France, discusses the main reasons for these results and offers some suggestions for improvement. Otherwise we risk a dramatic increase in the incidence of myocardial infarction, stroke, dependency and dementia in the coming years.