How Do I Manage Hypertension in Patients with Advanced Chronic Kidney Disease Not on Dialysis? Perspectives from Clinical Practice

Figures & data

Table 1 Target Blood Pressures in the General Population and CKD and Diabetes According to Various Guidelines

Society	General Population	CKD	Diabetes
ESC/ESH 2018^Citation11	< 65y: <130 - 120 systolic <80 - 70 diastolic > 65y: <140 - 130 systolic <80 - 70 diastolic	<140 - 130 systolic <80 - 70 diastolic	< 65y: <130 - 120 systolic <80 - 70 diastolic > 65y <140 - 130 systolic <80 - 70 diastolic
ACC/AHA 2017^Citation29	<130 systolic <80 diastolic	<130 systolic <80 diastolic	<130 systolic <80 diastolic
KDIGO 2012^Citation85		Without albuminuria <140 systolic <90 diastolic With albuminuria <130 systolic <80 diastolic
NICE 2019^Citation86	< 80y: <140 systolic <90 diastolic > 80y: <150 systolic <90 diastolic	<130 systolic <80 diastolic	Without albuminuria <140 systolic <90 diastolic With albuminuria <130 systolic <80 diastolic
Hypertension Canada 2020^Citation87	Low CV risk to to high risk <140 systolic <90 diastolic	High risk (severe CKD) < 120 systolic	<130 systolic <80 diastolic

Note: All values are in mmHg.

Abbreviations: Y, years; CV, cardiovascular; CKD, chronic kidney disease.

Figure 1 Schematic representation of a possible strategy to manage hypertension in severe CKD.

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