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Persistent Resistant Hypertension Has Worse Renal Outcomes in Chronic Kidney Disease than that Resolved in Two Years: Results from the KNOW-CKD Study
- Source :
- Journal of Clinical Medicine, Vol 10, Iss 3998, p 3998 (2021), Journal of Clinical Medicine, Volume 10, Issue 17
- Publication Year :
- 2021
- Publisher :
- MDPI AG, 2021.
-
Abstract
- Apparent treatment-resistant hypertension (ATRH) is closely related to chronic kidney disease (CKD)<br />however, the long-term outcomes and the effects of improvement in ATRH in patients with CKD are not well understood. We evaluated the relationship between the persistence of ATRH and the progression of CKD. This cohort study enrolled 1921 patients with CKD. ATRH was defined as blood pressure above 140/90 mmHg and intake of three different types of antihypertensive agents, including diuretics, or intake of four or more different types of antihypertensive agents, regardless of blood pressure. We defined ATRH subgroups according to the ATRH status at the index year and two years later. The prevalence of ATRH at baseline was 14.0%. The presence of ATRH at both time points was an independent risk factor for end-point renal outcome (HR, 1.41<br />95% CI, 1.04–1.92<br />p = 0.027). On the other hand, the presence of ATRH at any one of the time points was not statistically significant. In conclusion, persistent ATRH is more important for the prognosis of renal disease than the initial ATRH status. Continuous follow-up and appropriate treatment are important to improve the renal outcomes.
- Subjects :
- medicine.medical_specialty
Resistant hypertension
Disease
urologic and male genital diseases
Article
renal insufficiency
End stage renal disease
Internal medicine
medicine
In patient
Risk factor
end stage renal disease
urogenital system
business.industry
General Medicine
medicine.disease
female genital diseases and pregnancy complications
apparent treatment-resistant hypertension
Blood pressure
Medicine
prognosis
business
chronic kidney disease
Cohort study
Kidney disease
Subjects
Details
- ISSN :
- 20770383
- Volume :
- 10
- Database :
- OpenAIRE
- Journal :
- Journal of Clinical Medicine
- Accession number :
- edsair.doi.dedup.....5ce499ef24f42f348fa0f0c85ed1b1b6