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

Study recommends inmate immunity test

5 hours ago

(AP)—Federal experts are recommending that California test inmates for immunity to a sometimes fatal soil-borne fungus before incarcerating them at two Central Valley state prisons where the disease has killed nearly three ...

Down syndrome teens need support, health assessed

12 hours ago

Young adults with Down syndrome experience a range of physical and mental health conditions over and above those commonly reported in children with the condition—and these health problems may significantly ...

Time out for exercise

12 hours ago

University of Queensland researcher has found that restructuring our daily routine to include exercise can have unexpected effects on health.

User comments