Nephrology & Therapeutics

Management of Hypertension

Hypertension, or high blood pressure, is dangerous because it raises the risk of kidney damage, heart attacks, strokes, and heart failure. Treatment for hypertension is to reduce elevated blood pressure while still safeguarding important organs including the kidneys, heart, and brain.

•                      Chronic kidney disease: Treatment depends on whether there is diabetes or not and on the albumin creatinine ratio (ACR)

•                      Atrial fibrillation: if rate control is needed, add a beta-blocker or a rate-limiting CCB such as diltiazem. If on amlodipine, change to a rate-limiting CCB such as diltiazem.