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Nephrology Dialysis Transplantation 2009 24(3):695-697; doi:10.1093/ndt/gfp027
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© The Author [2009]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org


The message for World Kidney Day 2009: Hypertension and kidney disease: a marriage that should be prevented

George L. Bakris1, Eberhard Ritz2,* on behalf of the World Kidney Day Steering Committee

1 Department of Medicine, Hypertensive Diseases Unit, University of Chicago, Pritzker School of Medicine, Chicago, IL, USA 2 Department of Medicine, Ruperto Carola University of Heidelberg, Heidelberg, Germany

Correspondence and offprint requests to: Angela Guillemet. Fax: +353-863-11-40-67; E-mail: angela@worldkidneyday.org

The first 150 words of the full text of this article appear below.



   Introduction
 
The kidney is both a cause and victim of hypertension. High blood pressure is a key pathogenetic factor that contributes to deterioration of kidney function. The presence of kidney disease is a common and underappreciated pre-existing medical cause of resistant hypertension [1]. Therefore, treatment of hypertension has become the most important intervention in the management of all forms of chronic kidney disease (CKD). For this reason, the forthcoming World Kidney Day (WKD) on 12 March 2009 will emphasize the role of hypertension for renal disease.



   How does one recognize the presence of CKD?
 
In contrast to a decade ago, today most laboratories around the world report estimated glomerular filtration rate (eGFR) instead of or in addition to serum creatinine. This now provides the physician with information about kidney function that is, in general, more informative. As a result, a greater percentage of patients with diabetes or hypertension and their physicians have a better knowledge of their . . . [Full Text of this Article]



   What is the worldwide frequency of CKD?
 


   The role of hypertension
 


   Which blood pressure component is most relevant for renal and CV risk, systolic or diastolic?
 


   The role of diabetic nephropathy
 


   The remaining challenge
 


   What can be done about this problem?
 

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