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Revista Uruguaya de Medicina Interna

Print version ISSN 2393-6797On-line version ISSN 2393-6797

Abstract

ARAUJO, Lucía et al. Arterial Hypertension is a risk factor for the development and progression of Chronic Kidney Disease. Rev. Urug. Med. Int. [online]. 2016, vol.1, n.3, pp.4-13. ISSN 2393-6797.

ABSTRACT   The link between Arterial Hypertension (AHT) and Chronic Renal Disease (CKD) is reciprocal and complex. HBP is a recognized risk factor for the development of CKD, and the incidence of renal disease increases as the severity of hypertension increases. Additionally, the presence of hypertension is linked to progression of CKD from early stages to the development of extreme-ERC. The presence of masked HTA, white tunica HTA and loss of nocturnal dipping pattern are associated with development and progression of renal disease. Screening for CKD is recommended for patients with hypertension at risk of developing the disease. It is more controversial whether screening should be done in individuals at low risk of developing CKD. The target blood pressure figures in this group of patients are suggested by the KDIGO guidelines. Multiple studies have sought to identify whether intensive blood pressure control decreases the incidence of CKD and its progression but the results are inconclusive. This paper reviews the link between hypertension and development and progression of CKD. It is pointed out the population with hypertension that benefits from CKD screening and target blood pressure values ​​in this group.

Keywords : Hypertension; Chronic kidney disease; Outpatient monitoring of blood pressure; Screening for chronic kidney disease.

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