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Treatment of hypertension is highlighted as the most important intervention in the management of all forms of chronic kidney disease to reduce cardiovascular risk and prevent kidney deterioration.
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Highlights the critical role of hypertension management in preventing the progression of chronic kidney disease and reducing associated cardiovascular risk.
The prevalence of chronic kidney disease (CKD) continues to increase worldwide as does end stage renal disease. The most common, but not only, causes of CKD are hypertension and diabetes. CKD is associated with a significant increase in cardiovascular (CV) risk as most patients with CKD die of a CV cause. Moreover, CV risk increases proportionally as estimated glomerular filtration rate falls below 60 mL/min. CV causes of death in CKD are more prevalent than those from cancer; as a result, the identification and reduction of CKD is a public health priority. High blood pressure is a key pathogenic factor that contributes to the deterioration of kidney function. The presence of kidney disease is a common and underappreciated preexisting medical cause of resistant hypertension. Therefore, treatment of hypertension has become the most important intervention in the management of all forms of CKD. For this reason, World Kidney Day on March 12, 2009 will emphasize the role of hypertension.
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Bakris et al. (2009) conducted an editorial in Chronic kidney disease and hypertension. Treatment of hypertension was evaluated. Treatment of hypertension is highlighted as the most important intervention in the management of all forms of chronic kidney disease to reduce cardiovascular risk and prevent kidney deterioration.
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