Blood Pressure Goals in Kidney Transplant Recipients: More Progress, but a Target Remains Elusive

K idney transplant recipients remain at higher risk than the general population of significant morbidity and mortality related to cardiovascular disease (1).This increased risk can partly be attributed to traditional cardiovascular risk factors such as diabetes, dyslipidemia, and hypertension-the latter being particularly prevalent in the kidney transplant population.Mechanistically, hypertension in this population can be associated with donor factors or recipient factors, including post-transplant renal artery stenosis, allograft rejection, and immunosuppressive medications (2).Although a common problem, there is no established optimum blood pressure (BP) target in this population; the general paradigm shift toward lower BP targets has not yet been adopted in this group due to unsubstantiated concerns of acute kidney injury.The Collaborative Transplant Study proposed to investigate BP targets in the transplant population using largescale retrospective data available on over 60,000 kidney transplant recipients (3).Data on BP were collected at year