Renal damage occurs in 1 out of 4 hypertensives Adapted from Leoncini et al. J Hypertens....

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Renal damage occurs in 1 out of 4 hypertensives Adapted from Leoncini et al. J Hypertens. 2008;26:427-432.

Transcript of Renal damage occurs in 1 out of 4 hypertensives Adapted from Leoncini et al. J Hypertens....

Page 1: Renal damage occurs in 1 out of 4 hypertensives Adapted from Leoncini et al. J Hypertens. 2008;26:427-432.

Renal damage occurs in 1 out of 4 hypertensives

Adapted from Leoncini et al. J Hypertens. 2008;26:427-432.

Page 2: Renal damage occurs in 1 out of 4 hypertensives Adapted from Leoncini et al. J Hypertens. 2008;26:427-432.

Optimal protection should reducethe risk of death

Adapted from Dzau et al. Circulation. 2006;114;2850-2870.

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ADVANCE: renal protection that translates into mortality reduction

* Versus patients, 73% of whom were receiving an ACE inhibitor or a sartan.** Development of macroalbuminuria, doubling of serum creatinine to a level of at least 2.26 mg/dL (200 mol/L), need for renal replacement therapy or death due to renal disease.*** All-cause mortality.

1. De Galan et al. J Am Soc Nephrol. 2009;20:883-892.2. Lambers Heerspink et al; ADVANCE Collaborative Group. Eur Heart J. 2010;31:2888-2896.3. Patel et al; ADVANCE Collaborative Group. Lancet. 2007;370:829-840.

Page 4: Renal damage occurs in 1 out of 4 hypertensives Adapted from Leoncini et al. J Hypertens. 2008;26:427-432.

Kidney protection translatinginto mortality reduction

More extensive assessment is available in García-Donaire et al. Blood Press. 2011;20:322–334.*renal events, **urinary albumin/creatinine ratio; †urinary albumin excretion rate, ‡doubling serum creatinine. RRR = relative risk reduction; NS = not significant. Results should be interpreted line by line, in comparison with a control group specific to the trial.