Lower Blood Pressure May Help Sicker Kidney Patients
And it kept waking him at night. But in the end, the new device found that an earlier diagnosis of high blood pressure was inaccurate, allowing him to stop taking medication. Its not like youd wear it for fun, Zoss said. But to find out you can eliminate any sort of medication that youll otherwise be taking for life? Its nothing. 76 million Americans The technology for 24-hour monitoring has existed for 20 years, but received little interest until Britains National Health Service opted two years ago to offer it to patients suspected of having high blood pressure.
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Half of People With High Blood Pressure Don’t Know It
And despite the availability of drugs to control high blood pressure, many people who do know they have the condition are not being properly treated. “Blood pressure-lowering drugs are generally inexpensive and commonly available treatments,” senior study author Dr. Salim Yusuf, a professor of medicine at McMaster University’s Michael G. DeGroote School of Medicine in Hamilton, Ontario, Canada, said in a university news release. “However, only a third of patients commenced on treatment are on enough treatment to control their blood pressure. This is worst in low-income countries, but significant in high- and middle-income countries, too.” The researchers led by the Population Health Research Institute (PHRI) of McMaster University and Hamilton Health Sciences examined data on 154,000 adults aged between 35 and 70.
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In this group of patients, there was about a 25% reduction in end-stage kidney disease compared to those who achieved a blood pressure goal of 140/90, which is the standard of doctors when treating patients with high blood pressure. Among patients who weren’t as sick — those with little or no protein in their urine — efforts to lower blood pressure had little effect on kidney disease progression. “This has always been a hot topic: Is a lower blood pressure goal better at preserving kidney function than the standard goal? The answer is a qualified yes, notably in people who have some protein in their urine,” Appel said. The findings suggest that doctors should check for protein in the urine before they determine the blood pressure goal for blacks with kidney disease, he added. Blacks account for about one-third of patients with end-stage kidney disease in the United States, although they make up only 12% of the population.
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