July 1, 1993American Journal of Hypertension
Renal Issues in the Management of Hypertension
Why the study?
What are the current guidelines for managing hypertension associated with renal impairment?
Population
Hypertensive patients with or at risk of renal impairment
Design
Review
Authors
Discussion
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Member takes
Implication
Guidelines endorse BP control, sodium restriction, and diuretics in renal-failure hypertension; reinforces consensus yet leaves optimal targets and agents open for prospective study.
Structured PICO
What are the current guidelines for managing hypertension associated with renal impairment?
P
Population
Hypertensive patients with or at risk of renal impairment
I
Intervention
Antihypertensive therapy (diuretics, beta-blockers, calcium channel blockers, angiotensin-converting enzyme inhibitors) and dietary sodium reduction
O
Outcome
Control of blood pressure and slowing of progressive renal failure
Diuretics remain the cornerstone of antihypertensive therapy for patients with renal failure, alongside blood pressure control and dietary sodium reduction.
Cite This Study
Wayne Hall (1993) studied this question.