title: [Nephroprotection and vascular risk: prevention of renal damage in hypertension].
abstract: Kidney dysfunction is highly prevalent in the general population and even more so among patients with hypertension, leading to a high risk not only of progression to end-stage renal insufficiency but also of greater cardiovascular morbidity and mortality. Clinical guidelines for chronic kidney disease recommend ambitious blood pressure control (< 130/80 mmHg or lower if there is proteinuria) and the use of renin-angiotensin system blockers. However, the evidence for these recommendations in patients with hypertension without diabetes or proteinuria is scarce. The present article reviews this controversy and concludes with recommendations for better renal preservation in patients with hypertension.
authors: Servicio de Nefrología, Fundación Althaia, Manresa, Universitat Internacional de Catalunya, Barcelona, Spain. jgalceran@althaia.cat
authors: J M
authors: JM
authors: Galcerán Gui
mesh_terms: D006801:Humans; D006973:Hypertension / Q000150:complications*; D007674:Kidney Diseases / Q000209:etiology* / Q000517:prevention & control*