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July 23, 2026The Egyptian Journal of Internal MedicineOpen Access

Antihypertensive therapy associates with a ~26 mmHg SBP drop, lower DBP, and reduced serum creatinine.

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Why the study?

Hypertension is prevalent in chronic kidney disease and drives cardiovascular complications and renal dysfunction, but real-world antihypertensive prescribing patterns needed evaluation to optimize blood pressure management.

Does antihypertensive therapy improve blood pressure and serum creatinine in adults with chronic kidney disease and hypertension?

Population

100 adults with CKD and hypertension attending a tertiary-care teaching hospital

Design

Prospective observational study

Key result

Antihypertensive therapy was associated with significant reductions in systolic blood pressure (160.13 to 134.20 mmHg), diastolic blood pressure, and serum creatinine over 6 months (all p<0.001).

Authors

SRShamama RehmanMBMd Abdul BariMFMaryam Fatima

Discussion

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Overview

Prescribing patterns in advanced CKD merit review in practice; leaves open optimal regimens and outcomes pending controlled trials.

Key Points

  • This study aims to evaluate antihypertensive prescribing patterns and subsequent blood pressure outcomes in patients with chronic kidney disease (CKD).
  • Conducted a six-month prospective observational study among 100 adults with CKD and hypertension
  • Recorded demographic data, CKD stage, antihypertensive prescriptions, and clinical parameters at baseline and follow-up
  • Analyzed changes using paired Student's t-test.
  • Systolic blood pressure decreased from 160.13±25.26 mmHg to 134.20±19.77 mmHg (p<0.001)
  • Diastolic blood pressure dropped from 92.63±13.07 mmHg to 80.10±10.94 mmHg (p<0.001)
  • Serum creatinine improved from 5.59±3.73 mg/dL to 4.04±3.20 mg/dL (p<0.001).

Study Design

Type

Observational (n=100)

Multicenter

No

Structured PICO

Does antihypertensive therapy improve blood pressure and serum creatinine in adults with chronic kidney disease and hypertension?

P
Population
100 adults with chronic kidney disease and hypertension attending a tertiary-care teaching hospital, followed for six months.
E
Exposure
Antihypertensive therapy (predominantly diuretics [37.8%] and calcium channel blockers [29.0%]) over 6 months
O
Outcome
Changes in systolic blood pressure, diastolic blood pressure, and serum creatinine at 6 months follow-upsurrogate

Main Result

p-value: p=<0.001

In a real-world cohort of patients with advanced CKD and hypertension, treatment predominantly with diuretics and calcium channel blockers was associated with significant improvements in blood pressure and serum creatinine over 6 months.

Limitations

  • Observational design cannot prove treatment efficacy
  • Single center study
  • Short follow-up duration
  • Observational findings should not be interpreted as evidence of treatment efficacy
  • Single-center study

Cite This Study

Rehman et al. (2026) conducted an observational in Chronic kidney disease and hypertension (n=100). Antihypertensive therapy was evaluated on Changes in systolic blood pressure, diastolic blood pressure, and serum creatinine (p=<0.001). Antihypertensive therapy was associated with significant reductions in systolic blood pressure (160.13 to 134.20 mmHg), diastolic blood pressure, and serum creatinine over 6 months (all p<0.001).

synapsesocial.com/papers/6a61b02ffaa9903c5116ac53https://doi.org/10.1186/s43162-026-00681-4
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Also Consider

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