2010 Hong Kong Reference Framework for Hypertension Care for ...

Chapter 8.Component 3: Clinical Care Of Adults With Hypertension8.3.3 Patient with hypertension and chronic kidney diseasesRecommendationsTarget blood pressure is below 130/80 mmHg.ASupporting evidence●●●●●●Patients with chronic kidney disease in the low target bloodpressure group had a significantly slower reduction in glomerularfiltration rate (GFR) decline compared with patients assigned tothe high target blood pressure group 25 .The risks for kidney failure and the composite outcome ofkidney failure and all-cause mortality were significantly lower inthe low target blood pressure group 26 .Systolic blood pressure range of 110-129 mmHg was associatedwith the lowest risk of kidney disease progression in patientswith urine protein excretion > 1g/day 27 .1++1++1++8.4 Follow up and monitoringAfter initiating antihypertensive drug treatment, most patients should be followedup within 2 weeks until the blood pressure goal is achieved. More frequentvisits may be indicated for patients with systolic blood pressure ≥ 160mmHg ordiastolic blood pressure ≥ 100mgHg or with complications.Once the blood pressure goal is achieved, the follow-up interval may be extendedto 6-12 weeks depending on the patient’s condition and the doctor’s assessment.HK Reference Framework for Hypertension Care for Adults in Primary Care Settings16