Improvement of Blood Pressure Control in Hypertensive Patients with Renal Diseases

For hypertensive patients with renal diseases (RD), strict blood pressure (BP) control has been recommended in recent hypertension guidelines, such as JNC VI, JNC 7, WHO/ISH 1999 and ESH-ESC 2003. We assessed the current status of BP control and the changes of BP control before and after the publication of these guidelines in 489 hypertensive patients with or without RD (age, 19–89 years, mean 59±13 years) who visited the hypertension and kidney outpatient clinic at Kyushu University Hospital. The clinical characteristics of RD and non-RD patients were assessed (RD patients: age, 20–89 years, mean 60±13 years, n =311; non-RD patients: age, 19–86 years, mean 58±13 years, n =178). In addition, we compared the BP control status in 2003 to that in 1996. In 2003, the BP in RD patients was 134±16/78±10 mmHg and that in non-RD patients was 138±12/83±9 mmHg. When strict BP control was defined as