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만성 콩팥병 환자에서 고혈압의 진단 기준 Update: 2017 ACC/AHA 고혈압 가이드라인의 적용

Updated Guideline for Diagnosis of Hypertension in Chronic Kidney Disease Patients: Based on 2017 ACC/AHA Hypertension Guideline

대한내과학회지
2019년 94권 3호 p.263 ~ p.267
최홍상 ( Choi Hong Sang ) - 전남대학교 의과대학 내과학교실

최홍상 ( Choi Hong Sang ) - 전남대학교 의과대학 내과학교실

Abstract

Hypertension affects the majority of patients with chronic kidney disease (CKD) and increases the risk of cardiovascular disease, end-stage renal disease and mortality. Previously, many hypertension guidelines have suggested blood pressure targets in patients with CKD. Recently, the American College of Cardiology/American Heart Association 2017 Guideline for Hypertension suggests a new definition for hypertension and therapeutic targets, which were equally applicated to patients with CKD. These changes reflect the results of the Systolic Blood Pressure Intervention Trial (SPRINT) study, but the renal outcome of intensive blood pressure control was not good. Furthermore, the majority of hypertension guidelines including those of the Korean Society of Hypertension and the European Society of Hypertension have retained the traditional definition. Herein, we intend to analyze in detail the effect of intensive blood pressure control on kidney through the post-hoc analyses of the SPRINT study.

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