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Under what circumstances do you recommend targeting a systolic blood pressure of less than 120 mmHg in a patient with CKD?

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Do you target a systolic blood pressure of less than 120 mmHg in CKD patients with an eGFR of less than 20 ml/min/1.73m2?

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2 Answers
Mednet Member
Mednet MemberInvited Expert
Nephrology · UAB Medicine
Answered on

I am going to deviate a bit from the KDIGO recommendations here, and will try to document my reasons.

  1. The SPRINT trial, which was the largest BP target trial for individuals with CKD, did not enroll individuals with an eGFR < 20. The automated office BP measurement used in SPRINT is still not standa...

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Mednet Member
Mednet MemberInvited Expert
Nephrology · UCSF
Answered on

All patients with CKD who can tolerate it and with accurately measured blood pressures.

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