Hypertension and the kidney

Acta Clin Belg. 2007 Jan-Feb;62(1):5-14. doi: 10.1179/acb.2007.002.


The kidney could be the cause of essential hypertension which can also cause renal disease. High blood pressure is also very common in chronic kidney disease, and is moreover a well-known risk factor for a faster progression of kidney failure. Hypertension and kidneys are thus closely linked. Hypertension must be aggressively treated in patients suffering from chronic kidney disease, with a blood pressure goal of less than 130/80 mmHg, even lower than 125/75 mmHg when proteinuria is over 1g/day, using optimal and effective antihypertensive drugs. Among them, the blockers of the renin-angiotensin axis offer nephroprotective but also cardioprotective properties beyond their effect on blood pressure.

Publication types

  • Review

MeSH terms

  • Antihypertensive Agents / therapeutic use
  • Blood Pressure
  • Diet, Sodium-Restricted
  • Disease Progression
  • Global Health
  • Humans
  • Hypertension* / drug therapy
  • Hypertension* / epidemiology
  • Hypertension* / etiology
  • Kidney Failure, Chronic / complications*
  • Kidney Failure, Chronic / therapy
  • Morbidity / trends
  • Prognosis
  • Risk Factors


  • Antihypertensive Agents