Intensive BP Control Associated With Increased CKD Risk

Share this content:
Intensive BP Control Associated With Increased CKD Risk
Intensive BP Control Associated With Increased CKD Risk

THURSDAY, Sept. 7, 2017 (HealthDay News) -- Intensive systolic blood pressure (SBP) lowering is associated with an increased risk of chronic kidney disease (CKD) events but a reduced risk of cardiovascular events and mortality, according to a study published online Sept. 4 in the Annals of Internal Medicine.

Srinivasan Beddhu, M.D., from the University of Utah in Salt Lake City, and colleagues conducted subgroup analyses of the Systolic Blood Pressure Intervention Trial to determine the effects of intensive SBP lowering versus standard SBP lowering on kidney and cardiovascular outcomes in adults with high blood pressure and elevated cardiovascular risk. In the intervention, 6,662 participants were randomly assigned to either the intensive (120 mm Hg) or standard (140 mm Hg) SBP goal.

The researchers found that the difference in adjusted mean estimated glomerular filtration rate was −3.32 mL/min/1.73 m2 between the intensive and standard groups at six months and −4.5 mL/min/1.73 m2 at 18 months. In the intensive group, an incident CKD event occurred in 3.7 percent of participants versus 1 percent in the standard group at three-year follow-up (hazard ratio, 3.54). The composite of death or cardiovascular event occurred in 4.9 percent and 7.1 percent of participants in the intensive and standard groups, respectively, at three-year follow-up (HR, 0.71).

"Intensive SBP lowering increased risk for incident CKD events, but this was outweighed by cardiovascular and all-cause mortality benefits," conclude the authors.

Several authors report financial ties to the pharmaceutical industry.

Abstract/Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Trending Activities

All Professions

Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

Study Provides Estimates of U.S. Prevalence of Type 1, 2 Diabetes

Study Provides Estimates of U.S. Prevalence of Type ...

Prevalence of type 1 diabetes 0.5 percent, type 2 diabetes 8.5 percent among U.S. adults

Black Individuals at Highest Risk of Legal Intervention Injury

Black Individuals at Highest Risk of Legal Intervention ...

Increase in rates of injuries from 2005 to 2009, followed by a drop to 2015, returning to ~2005 levels

Research Links Doctor Burnout to Patient Safety Incidents

Research Links Doctor Burnout to Patient Safety Incidents

Physician burnout linked to increased risk of patient safety incidents, reduced patient satisfaction

is free, fast, and customized just for you!




Already a member?

Sign In Now »