Hypertension in moderate-to-severe nondiabetic CKD patients.

High blood pressure can be both a cause and a consequence of chronic kidney disease and will contribute to an unfavorable renal and cardiovascular (CV) prognosis. Both in the general population and in hypertensive patients, the presence of chronic kidney disease is associated with a high prevalence of CV disease. Elevated blood pressure and the amount of albumin present in urine are the 2 most relevant factors facilitating the progression of chronic kidney disease in hypertensive patients. Therapeutic attitudes that must be considered when chronic kidney disease is present include the simultaneous performance of CV and renal protection. 2011 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.