La prevenzione primaria e secondaria dell'ipertensione arteriosa: il punto di vista del nefrologo

S. Andrulli; S. Mancuso; M.C. Bigi; A. Granata; F. Logias; F. Floccari; L. Di Lullo

doi:10.33393/gcnd.2012.1112

Primary and secondary prevention of arterial hypertension: nephrologist's point of view

Authors

S. Andrulli Divisione di Nefrologia, Dialisi, Ospedale ‘Alessandro Manzoni’, Lecco
S. Mancuso Centro Emodialisi Mazarese, Mazara del Vallo (Trapani)
M.C. Bigi Divisione di Nefrologia, Dialisi, Ospedale ‘Alessandro Manzoni’, Lecco
A. Granata Divisione di Nefrologia e Dialisi, Ospedale ‘San Giovanni di Dio’, Agrigento
F. Logias Servizio di Dialisi, Ospedale ‘San Camillo’, Sorgono (Nuoro)
F. Floccari Divisione di Nefrologia e Dialisi, Ospedale ‘San Paolo’, Civitavecchia
L. Di Lullo Divisione di Nefrologia e Dialisi, Ospedale ‘L. Parodi-Delfno’, Colleferro (Roma)

DOI:

https://doi.org/10.33393/gcnd.2012.1112

Keywords:

Primary and secondary prevention, Arterial hypertension, Global cardiovascular risk, Drug compliance, Personalised therapy, Proteinuria

Abstract

Nephroangiosclerotic chronic kidney disease's primary and secondary prevention is actually based on blood pressure control and reduction of proteinuria. In proteinuric patients, blood pressure control has to be obtained by blocking renin–angiotensin axis, even in patients with moderate to severe chronic kidney disease. Combination therapy with angiotensin converting enzyme inhibitor (ACEi) drugs and angiotensin II receptor blockers (ARB) doesn't imply addictive protective effects. It could be tested in selected patients with proteinuria levels above 1 g/day. Combination therapy with ACEi and anti–aldosteronic agents seems to be promising but we need more multicentric trials.

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Published

2018-01-24

How to Cite

Andrulli, S., Mancuso, S., Bigi, M., Granata, A., Logias, F., Floccari, F., & Di Lullo, L. (2018). Primary and secondary prevention of arterial hypertension: nephrologist’s point of view. Giornale Di Clinica Nefrologica E Dialisi, 24(1), 29–33. https://doi.org/10.33393/gcnd.2012.1112

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Issue

Vol. 24 No. 1 (2012): January-March 2012

Section

Reviews

License

Authors contributing to Giornale di Clinica Nefrologica e Dialisi (GCND) agree to publish their articles under the CC-BY-NC 4.0 license, which allows third parties to re-use the work without permission as long as the work is properly referenced and the use is non-commercial.