Blood Pressure Control in Elderly Chronic Kidney Disease Patients
- PMID: 36688210
- PMCID: PMC9827045
- DOI: 10.5049/EBP.2022.20.2.57
Blood Pressure Control in Elderly Chronic Kidney Disease Patients
Abstract
In elderly chronic kidney disease (CKD) patients, isolated systolic hypertension is common, the rate of renal function decline is slow, and there is a high possibility of physical damage due to side effects such as drug use-related orthostatic hypotension. Therefore, there are still many questions about whether lowering blood pressure in elderly patients will actually improve prognosis. Since many blood pressure-related clinical studies exclude advanced CKD and the elderly, it is particularly difficult to define target blood pressure in these populations. A randomized controlled trial is needed to establish optimal blood pressure targets and treatment strategies in elderly patients with CKD. This review seeks to summarize the guidelines available at this time.
Keywords: Chronic kidney disease; Elderly; Hypertension.
Copyright © 2022 Korean Society for Electrolyte and Blood Pressure Research.
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References
-
- Cheung AK, Chang TI, Cushman WC, et al. Executive summary of the KDIGO 2021 Clinical Practice Guideline for the Management of Blood Pressure in Chronic Kidney Disease. Kidney Int. 2021;99:559–569. - PubMed
-
- Brook RD, Rajagopalan S. 2017 ACC/ AHA/ AAPA/ ABC/ ACPM/ AGS/ APhA/ ASH/ ASPC/ NMA/ PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults. A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Soc Hypertens. 2018;12:238. - PubMed
-
- Ikeda Y, Sasaki T, Kuwahata S, et al. Management instructions for elderly patients with hypertension. Clin Exp Hypertens. 2020;42:295–301. - PubMed
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