A European Renal Association (ERA) synopsis for nephrology practice of the 2023 European Society of Hypertension (ESH) Guidelines for the Management of Arterial Hypertension.

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_375A45238359
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
A European Renal Association (ERA) synopsis for nephrology practice of the 2023 European Society of Hypertension (ESH) Guidelines for the Management of Arterial Hypertension.
Journal
Nephrology, dialysis, transplantation
Author(s)
Sarafidis P., Schmieder R., Burnier M., Persu A., Januszewicz A., Halimi J.M., Arici M., Ortiz A., Wanner C., Mancia G., Kreutz R.
ISSN
1460-2385 (Electronic)
ISSN-L
0931-0509
Publication state
Published
Issued date
31/05/2024
Peer-reviewed
Oui
Volume
39
Number
6
Pages
929-943
Language
english
Notes
Publication types: Journal Article ; Practice Guideline
Publication Status: ppublish
Abstract
In June 2023, the European Society of Hypertension (ESH) presented and published the new 2023 ESH Guidelines for the Management of Arterial Hypertension, a document that was endorsed by the European Renal Association (ERA). Following the evolution of evidence in recent years, several novel recommendations relevant to the management of hypertension in patients with chronic kidney disease (CKD) appeared in these Guidelines. These include recommendations for target office blood pressure (BP) <130/80 mmHg in most and against target office BP <120/70 mmHg in all patients with CKD; recommendations for use of spironolactone or chlorthalidone for patients with resistant hypertension with estimated glomerular filtration rate (eGFR) higher or lower than 30 mL/min/1.73 m2, respectively; use of a sodium-glucose cotransporter 2 inhibitor for patients with CKD and estimated eGFR ≥20 mL/min/1.73 m2; use of finerenone for patients with CKD, type 2 diabetes mellitus, albuminuria, eGFR ≥25 mL/min/1.73 m2 and serum potassium <5.0 mmol/L; and revascularization in patients with atherosclerotic renovascular disease and secondary hypertension or high-risk phenotypes if stenosis ≥70% is present. The present report is a synopsis of sections of the ESH Guidelines that are relevant to the daily clinical practice of nephrologists, prepared by experts from ESH and ERA. The sections summarized are those referring to the role of CKD in hypertension staging and cardiovascular risk stratification, the evaluation of hypertension-mediated kidney damage and the overall management of hypertension in patients with CKD.
Keywords
Humans, Hypertension/drug therapy, Hypertension/etiology, Nephrology/standards, Societies, Medical, Europe, Practice Guidelines as Topic, Antihypertensive Agents/therapeutic use, Renal Insufficiency, Chronic/complications, albuminuria, blood pressure, chronic kidney disease, hypertension, hypertensive kidney disease
Pubmed
Web of science
Open Access
Yes
Create date
26/02/2024 11:00
Last modification date
14/06/2024 6:10
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