Fast Five Quiz: Renal Impairment From Hypertension

Michael Weber, MD


August 09, 2022

The combination of hypertension and diabetes can result in more rapid progression of kidney disease. Studies have shown that adequate control of BP decreases microvascular complications, including nephropathy.

Treatment of hypertension in patients with parenchymal renal disease is also effective in preserving kidney function, particularly in proteinuric kidney diseases such as diabetic nephropathy, per Fervenza and colleagues. The same authors note that treating hypertension to prevent ESRD attributed to hypertensive nephrosclerosis remains unclear.

According to Alexander and colleagues, the risk for hypertension-induced ESRD is higher in Black patients as well, compared with other race/ethic groups, even when BP is "under good control."

Learn more about the treatment and management of nephrosclerosis.

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