Increased reductions in blood pressure in patients undergoing treatment for intensive blood pressure is associated with increased risk of kidney dysfunction, says study.
The findings will be presented at ASN Kidney Week 2017 at the Ernest N. Morial Convention Center in New Orleans, LA. It will aslo be published in the Clinical Journal of the American Society of Nephrology (CJASN).
The SPRINT trial found that in people with high cardiovascular risk, more intensive BP control (systolic BP <120 mm Hg) reduced the risk of early death; however, intensive treatment was linked with reduced kidney function.
"The fact that in our analysis the benefit-risk relationship became less favorable with greater mean blood pressure reductions may be important for patients and physicians as they aim for the lowest cardiovascular risk with the lowest probability of side effects," said Dr. Magrišo, "If this association is confirmed by prospective studies, future recommendations for hypertension treatment in this population should consider personalized targets rather than a fixed cut-off for every patient."