终末期肾病中的高血压

Q4 Medicine Open Hypertension Journal Pub Date : 2020-01-01 DOI:10.15713/ins.johtn.0177
Sonali Gupta, S. Liebman
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引用次数: 0

摘要

高血压既是终末期肾病(ESRD)的主要病因,也是透析终末期肾病患者公认的心血管危险因素。尽管如此,高血压在这一人群中仍然非常普遍,而且常常得不到充分控制。[1,2]由于缺乏诊断的标准定义以及血压(BP)测量的设置和技术,ESRD中高血压的患病率估计变化很大。高血压和慢性肾脏疾病(CKD)确实是密切相关的临床疾病,持续不受控制的高血压会导致肾功能恶化,反之亦然。在这里,我们将考虑在肾替代治疗中ESRD患者高血压的诊断和治疗,包括非药物和药物方法。
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Hypertension in End-Stage Renal Disease
Hypertension is both a leading etiology of end-stage renal disease (ESRD) and a well-recognized cardiovascular risk factor in ESRD patients on dialysis. Despite this, hypertension remains highly prevalent and is often inadequately controlled in this population.[1,2] The prevalence estimates of hypertension in ESRD are quite variable, due to the lack of a standard definition for diagnosis as well as the setting and technique of blood pressure (BP) measurement. Hypertension and chronic kidney disease (CKD) are indeed closely interrelated clinical conditions such that sustained uncontrolled hypertension can cause worsening of renal function and vice versa. Here, we will consider the diagnosis and treatment of hypertension in ESRD patients on renal replacement therapy including both nonpharmacologic and pharmacologic approaches.
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Open Hypertension Journal
Open Hypertension Journal Medicine-Cardiology and Cardiovascular Medicine
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