Next up Implications of lower BP thresholds in patients with advanced CKD by Paul Drawz. Starts with a question
Effects of intensive BP lowering in patients with advanced CKD likely include:
A) Prevention of ESRD
B) Increased risk of AKI
C) Increased fall risk
D) Increased risk of infection
A) Prevention of ESRD
B) Increased risk of AKI
C) Increased fall risk
D) Increased risk of infection
Low BP targets and renal outcomes #NKFClinicals 
MDRD Usual BP vs low BP. Only improvements with a lot of proteinuria, 3 grams, (very few patients in this study). Otherwise no reduction in progression of CKD #NKFClinicals
Of note in a subsequent publications with very long follow-up the low blood pressure groups did better. #NKFClinicals
Long term (after completion of randomized trial) improvement in outcomes with lower blood pressure in patients with proteinuria was also shown in AASK. #NKFClinicals
Onward to the CLICK. Have you heard our podcast? nephjc.com/freelyfiltered… #NKFClinicals
He concludes and says we can now say that reducing blood pressure does not reduce the risk of ESRD. #NKFClinicals
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