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Dialyse aktuell 2020; 24(09): 355-359
DOI: 10.1055/a-1216-4639
DOI: 10.1055/a-1216-4639
Schwerpunkt
Nephrologie
Blutdruck bei Niereninsuffizienz
Wie niedrig sollte er sein?
ZUSAMMENFASSUNG
Die Blutdruckbehandlung bei Niereninsuffizienz hat die beiden Ziele, unabhängig von der Nierenfunktion kardiovaskuläre Ereignisse zu verhindern und das Voranschreiten einer chronischen Niereninsuffizienz zu verlangsamen. Die Datenlage zur Festlegung eines Zielblutdruckwerts ist derzeit nicht befriedigend. Auch unter Berücksichtigung dieser Unsicherheit scheint es derzeit sinnvoll, bei Niereninsuffizienz einen Zielblutdruckwert von unter 130/80 mmHg anzustreben, sowohl bei nichtdiabetischen als auch bei diabetischen Patienten. Bei signifikanter Proteinurie ist möglicherweise auch ein niedrigerer Zielblutdruckwert sinnvoll.
Publication History
Article published online:
12 November 2020
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