title: Optimizing blood pressure control in patients with nondiabetic glomerular disease.
abstract: Hypertension is a common problem among patients with glomerular disease and CKD. Optimal blood pressure targets for these patients have been the source of much debate. Careful review of the available data supports a blood pressure target of less than 140/90 mmHg. Consideration for a lower goal of less than 130/80 mmHg should be given for patients with heavy proteinuria. Renin-angiotensin system inhibitors should be used as the cornerstone of therapy for all patients with glomerular disease and CKD.
authors.affiliation: Division of Nephrology and Hypertension, Henry Ford Hospital, Detroit, MI; Division of Nephrology and Hypertension, Vanderbilt University Medical Center, Nashville, TN; and Division of Nephrology and Hypertension, Vanderbilt University Medical Center, Nashville, TN.
authors.forename: Kausik
authors.initials: K
authors.lastname: Umanath
authors.affiliation: Division of Nephrology and Hypertension, Henry Ford Hospital, Detroit, MI; Division of Nephrology and Hypertension, Vanderbilt University Medical Center, Nashville, TN; and Division of Nephrology and Hypertension, Vanderbilt University Medical Center, Nashville, TN.
authors.forename: Julia B
authors.initials: JB
authors.lastname: Lewis
authors.affiliation: Division of Nephrology and Hypertension, Henry Ford Hospital, Detroit, MI; Division of Nephrology and Hypertension, Vanderbilt University Medical Center, Nashville, TN; and Division of Nephrology and Hypertension, Vanderbilt University Medical Center, Nashville, TN. Electronic address: Jamie.dwyer@vanderbilt.edu.
authors.forename: Jamie P
authors.initials: JP
authors.lastname: Dwyer
mesh_terms: D047228:Angiotensin II Type 1 Receptor Blockers / Q000627:therapeutic use*; D000806:Angiotensin-Converting Enzyme Inhibitors / Q000627:therapeutic use*; D004039:Diet, Sodium-Restricted; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000628:therapy*; D010347:Patient Care Planning; D011507:Proteinuria / Q000150:complications; D051436:Renal Insufficiency, Chronic / Q000150:complications / Q000628:therapy*; D012720:Severity of Illness Index; D016540:Smoking Cessation
chemical_list: D047228:Angiotensin II Type 1 Receptor Blockers; D000806:Angiotensin-Converting Enzyme Inhibitors
keywords: CKD; Glomerular disease; Hypertension