Kidney and cardiovascular risk in primary hypertension

作     者：Francesca Viazzi Francesca Cappadona Barbara Bonino Roberto Pontremoli 

作者机构：Università degli Studi di GenovaIRCCS Azienda Ospedaliera Universitaria San Martino IST 

出 版 物：《World Journal of Hypertension》 (世界高血压杂志)

年 卷 期：2015年第5卷第4期

页      面：115-118页

学科分类：10[医学] 

主　　题：Hypertension Albuminuria Cardiovascular risk Glomerular filtration rate Risk assessment Kidney 

摘      要：In patients with primary hypertension,therapeutic strategies should be based on global cardiovascular risk profile rather than on the severity of blood pressure *** assessment of concomitant risk factors and especially of the presence and extent of subclinical organ damage is of paramount importance in definingindividual *** the high prevalence of hypertension in the population at large,however,extensive diagnostic evaluation is often impractical or unfeasible in clinical *** cost,easy to use markers of risk are needed to improve the clinical management of patients with *** renal abnormalities such as a slight reduction in glomerular filtration rate and/or the presence of microalbuminuria are well known and powerful predictors of cardio-renal morbidity and mortality and provide a useful,low cost tools to optimize cardiovascular risk assessment.A greater use of these tests should therefore be implemented in clinical practice in order to optimize the management of hypertensive patients.