[Relevance of chronic kidney disease and cardiovascular prognosis in arterial hypertension].
Recently published guidelines recognize the relevance of the finding of chronic kidney disease in the stratification of risk of the hypertensive patient. Determination of the presence of microalbuminuria and estimation of glomerular filtration rate are mandatory in order to ensure an adequate evaluation of global cardiovascular risks in the hypertensive patient. The presence of subtle elevations of serum creatinine concentrations and/or proteinuria are also potent predictors of a poor cardiovascular prognosis. Clustering of associated risk factors seems to justify the elevated cardiovascular risk observed in patients with essential hypertension and mild alterations of renal function.
Segura de la Morena
Julián
J
Unidad de Hipertensión Arterial, Hospital 12 de Octubre, Madrid, Spain. juliansegura@mi.madritel.es
García Donaire
José Antonio
JA
Ruilope Urioste
Luis Miguel
LM
D000419:Albuminuria; D002318:Cardiovascular Diseases / Q000453:epidemiology* / Q000517:prevention & control; D006801:Humans; D006973:Hypertension / Q000150:complications*; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D011379:Prognosis; D011507:Proteinuria; D012307:Risk Factors