Managing Hypertension in Patients with CKD: A Marathon, Not a SPRINT

J Am Soc Nephrol. 2016 Jan;27(1):40-3. doi: 10.1681/ASN.2015101125. Epub 2015 Nov 9.

Abstract

In this manuscript, nephrologist-investigators from one of five Clinical Center Networks of the Systolic Blood Pressure Intervention Trial (SPRINT) provide background information and context on the intensity of anti-hypertensive therapy in conjunction with the release of detailed results from SPRINT's primary analysis. The authors highlight published evidence on the safety and efficacy of differing intensities of anti-hypertensive therapy in mild to moderate CKD, where SPRINT will help to inform practice, as well as where gaps in evidence will remain. The authors also challenge the nephrology community to renew its attention and efforts on hypertension clinical care and research.

Keywords: chronic kidney disease; clinical trial; hypertension.

MeSH terms

  • Antihypertensive Agents / therapeutic use*
  • Forecasting
  • Humans
  • Hypertension / complications*
  • Hypertension / drug therapy*
  • Renal Insufficiency, Chronic / complications*
  • Severity of Illness Index

Substances

  • Antihypertensive Agents