Blood pressure control in patients with chronic renal insufficiency in Spain: a cross-sectional study

Journal of Hypertension
Rafael MarínCOPARENAL (COntrol de la hiPertensión Arterial en Pacientes con Insuficiencia RENAL) study investigators

Abstract

Despite therapeutic advances, strict control of hypertension remains elusive in patients with chronic renal insufficiency (CRI). The present study was designed for assessment of control rates of blood pressure in patients with CRI. Secondary objectives included evaluation of the control rates of proteinuria and cardiovascular comorbidities. A multicenter and cross-sectional survey of unselected patients with CRI attending outpatient nephrology clinics in Spain between April and September 2003 was performed. Fifty-two centers recruited 2501 patients with a mean age 64.8 years (65.7% men). The prevalence of previous cardiovascular disease was 55%. The two most prevalent renal diseases were vascular (38.9%) and diabetic nephropathy (20.1%). Blood pressure below 130/80 mmHg was observed in 435 patients (17.4%). A poor blood pressure control was associated with older age, greater proteinuria and higher low-density lipoprotein cholesterol levels. Proteinuria less than 0.5 g/day was observed in 1209 cases (48.3%). A total of 1899 patients (75.9%) were receiving drugs suppressing the activity of the renin-angiotensin system and 1048 patients (41.9%) were being treated with three or more antihypertensive drugs. Lipid-lowering agents and...Continue Reading

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Citations

Dec 5, 2006·Current Hypertension Reports·Pasquale ZamboliGiuseppe Conte
May 23, 2009·Medicina clínica·R MarínS García-Melendreras
May 13, 2008·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Fausta CatapanoGiuseppe Conte
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May 28, 2013·International Journal of Hypertension·Silvio BorrelliRoberto Minutolo
Mar 24, 2016·Revista brasileira de epidemiologia = Brazilian journal of epidemiology·Mariza Miranda Theme FilhaCelia Landmann Szwarcwald
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Oct 9, 2007·Journal of Hypertension·Roberto MinutoloLuca De Nicola
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