Effect of Antihypertensive Drugs on Rapid Decline in Estimated Glomerular Filtration Rate in Japanese Patients With Chronic Kidney Disease

The risk of rapid eGFR decline increased with increasing BP and decreased with controlling BP. Antihypertensive treatment was associated with a higher risk of rapid eGFR decline at all BP levels. For CKD patients with proteinuria, maintaining BP in the high-normal or elevated range may further mitigate this risk.

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Publication Details

Journal
American Journal of Hypertension
Published
2025-03-23
DOI
https://doi.org/10.1093/ajh/hpaf041
Primary Topic
Chronic Kidney Disease and Diabetes
Type
article
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article

Effect of Antihypertensive Drugs on Rapid Decline in Estimated Glomerular Filtration Rate in Japanese Patients With Chronic Kidney Disease

Tsuyoshi Watanabe, Kenta Fujimoto, Kazuhiko Tsuruya, Koichi Asahi et al.
American Journal of Hypertension
Chronic Kidney Disease and Diabetes
article

Effect of Antihypertensive Drugs on Rapid Decline in Estimated Glomerular Filtration Rate in Japanese Patients With Chronic Kidney Disease

Tsuyoshi Watanabe, Kenta Fujimoto, Kazuhiko Tsuruya, Koichi Asahi, Tsuneo Konta, Ichiei Narita, Masao Kikuchi, Masato Kasahara, Masahide Kondo, Michikazu Nakai, Toshiki Moriyama, Koichi Kaikita, Kunihiro Yamagata, Yugo Shibagaki, Kunitoshi Iseki, Shouichi Fujimoto
article en

Abstract

The risk of rapid eGFR decline increased with increasing BP and decreased with controlling BP. Antihypertensive treatment was associated with a higher risk of rapid eGFR decline at all BP levels. For CKD patients with proteinuria, maintaining BP in the high-normal or elevated range may further mitigate this risk.

American Journal of HypertensionVol. 38(7)
University of Miyazaki (JP), Fukushima Prefectural Culture Center (JP), University of Miyazaki Hospital (JP)
Good health and well-being
Openalex Percentile: Top 93%
Chronic Kidney Disease and Diabetes
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Effect of Antihypertensive Drugs on Rapid Decline in Estimated Glomerular Filtration Rate in Japanese Patients With Chronic Kidney Disease — Tsuyoshi Watanabe, Kenta Fujimoto, et al. · American Journal of Hypertension (2025) | TGRS Research Map | TGRS