Ideal BP for kidney disease patients may be 130-159/70-89

Ideal BP for kidney disease patients may be 130-159/70-89
In patients with chronic kidney disease, optimal blood pressure seems to be 130 to 159/70 to 89 mm Hg, according to a study published in the Aug. 20 issue of the Annals of Internal Medicine.

(HealthDay)—In patients with chronic kidney disease (CKD), optimal blood pressure (BP) seems to be 130 to 159/70 to 89 mm Hg, according to a study published in the Aug. 20 issue of the Annals of Internal Medicine.

Csaba P. Kovesdy, M.D., from the University of Tennessee Health Science Center in Memphis, and colleagues analyzed data from 651,749 U.S. veterans with CKD. BP data were examined in 96 categories from lowest (<80/<40 mm Hg) to highest (>210/>120 mm Hg), in 10 mm Hg increments.

The researchers found that the lowest adjusted were seen in with BP of 130 to 159/70 to 89 mm Hg, while those in whom both systolic BP (SBP) and diastolic BP (DBP) were concomitantly very high or very low had the highest mortality rates. There were consistently lower mortality rates in patients with moderately elevated SBP combined with DBP no less than 70 mm Hg than in patients with ideal SBP combined with DBP less than 70 mm Hg. Results were consistent in subgroups of patients with normal and elevated urinary microalbumin-creatinine ratios.

"It may not be advantageous to achieve ideal SBP at the expense of lower-than-ideal DBP in adults with CKD," the authors write.

More information: Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Recommended for you

Uruguay begins registering marijuana growers

8 seconds ago

Just a handful of people had registered by midday Wednesday to be private growers of marijuana in Uruguay, the first country to fully legalize the production, sale and distribution of the drug.

Tracking spending among the commercially insured

10 hours ago

Recent growth in health care spending for commercially insured individuals is due primarily to increases in prices for medical services, rather than increased use, according to a new study led by researchers at The Dartmouth ...

Taking aim at added sugars to improve Americans' health

14 hours ago

Now that health advocates' campaigns against trans-fats have largely succeeded in sidelining the use of the additive, they're taking aim at sugar for its potential contributions to Americans' health conditions. But scientists ...

User comments