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January 8, 2026Current Opinion in Nephrology & Hypertension

Pros and cons of lower blood pressure targets in chronic kidney disease

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Key result

Targeting lower systolic blood pressure (<120 mmHg) reduces cardiovascular events and all-cause mortality in nondialysis CKD, but may increase acute kidney injury risk.

Authors

MHMario Funes HernandezTCTara I. Chang

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Overview

Review discusses blood pressure targets affecting cardiovascular outcomes in CKD, suggesting careful management is necessary.

Key Points

  • To explore the benefits and risks of lower blood pressure targets in patients with chronic kidney disease.
  • Reviewed recent randomized trials and meta-analyses
  • Analyzed cardiovascular outcomes and mortality related to blood pressure targets
  • Considered different measurement techniques for blood pressure
  • Lower systolic blood pressure targets (<120 mmHg) reduce cardiovascular events and mortality in nondialysis CKD
  • Benefits are similar to those observed in the general population
  • Concerns include potential increased risk for incident CKD and acute kidney injury
  • Significant benefits observed primarily in patients with high proteinuria

Cite This Study

Hernandez et al. (2025) studied this question. Targeting lower systolic blood pressure (<120 mmHg) reduces cardiovascular events and all-cause mortality in nondialysis CKD, but may increase acute kidney injury risk.

synapsesocial.com/papers/6960877dfa51ca23bb980a1bhttps://doi.org/10.1097/mnh.0000000000001153
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1BLOOD PRESSURE LEVELS AND THE PROGRESSION OF CHRONIC KIDNEY DISEASE: A SYSTEMATIC REVIEW2025
  2. 2Evaluating the Renal Implications of Intensive Versus Standard Blood Pressure Control in Chronic Kidney Disease: A Systematic Review of Randomized Trials2025
  3. 3Intensive vs. Less Intensive Blood Pressure Control in Chronic Kidney Disease: A Systematic Review and Meta-analysis of Clinical Trials2025
  4. 4Hypertension in Advanced Chronic Kidney Disease: Saving the Kidneys or the Heart?2026
  5. 5OPTIMIZING ANTIHYPERTENSIVE THERAPY IN CHRONIC KIDNEY DISEASE (CKD) PATIENTS: A REVIEW OF DOSE ADJUSTMENTS AND CLINICAL CONSIDERATIONS2025