Management of patients with hypertension and chronic kidney disease referred to Hypertension Excellence Centres among 27 countries. On behalf of the European Society of Hypertension Working Group on Hypertension and the Kidney

Jean-Michel Halimi; Pantelis Sarafidis; Michel Azizi; Grzegorz Bilo; Thilo Burkard; Michael Bursztyn; Miguel Camafort; Neil Chapman; Santina Cottone; Tine de Backer; Jaap Deinum; Philippe Delmotte; Maria Dorobantu; Michalis Doumas; Rainer Dusing; Béatrice Duly-Bouhanick; Jean-Pierre Fauvel; Pierre Fesler; Zbigniew Gaciong; Eugenia Gkaliagkousi; Daniel Gordin; Guido Grassi; Charalampos Grassos; Dominique Guerrot; Justine Huart; Raffaele Izzo; Fernando Jaén Águila; Zoltán Járai; Thomas Kahan; Ilkka Kantola; Eva Kociánová; Florianp. Limbourg; Marilucy Lopez-Sublet; Francesca Mallamaci; Athanasios Manolis; Maria Marketou; Gert Mayer; Alberto Mazza; Iainm. Macintyre; Jean-Jacques Mourad; Maria Lorenza Muiesan; Edgar Nasr; Peter Nilsson; Anna Oliveras; Olivier Ormezzano; Vitor Paixão-Dias; Ioannis Papadakis; Dimitris Papadopoulos; Sabine Perl; Jorge Polónia; Roberto Pontremoli; Giacomo Pucci; Nicolás Roberto Robles; Sébastien Rubin; Luis Miguel Ruilope; Lars Christian Rump; Sahrai Saeed; Elias Sanidas; Riccardo Sarzani; Roland Schmieder; François Silhol; Sekib Sokolovic; Marit Solbu; Miroslav Soucek; George Stergiou; Isabella Sudano; Ramzi Tabbalat; Istemihan Tengiz; Helen Triantafyllidi; Konstontinos Tsioufis; Jan Václavík; Markus van der Giet; Patricia Van Der Niepen; Franco Veglio; Retom. Venzin; Margus Viigimaa; Thomas Weber; Jiri Widimsky; Gregoire Wuerzner; Parounak Zelveian; Pantelis Zebekakis; Stephan Lueders; Alexandre Persu; Reinhold Kreutz; Liffert Vogt

doi:10.1080/08037051.2024.2368800

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Management of patients with hypertension and chronic kidney disease referred to Hypertension Excellence Centres among 27 countries. On behalf of the European Society of Hypertension Working Group on Hypertension and the Kidney

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Management of patients with hypertension and chronic kidney disease referred to Hypertension Excellence Centres among 27 countries. On behalf of the European Society of Hypertension Working Group on Hypertension and the Kidney

Jean-Michel Halimi, Pantelis Sarafidis, Michel Azizi, Grzegorz Bilo, Thilo Burkard, Michael Bursztyn, Miguel Camafort, Neil Chapman, Santina Cottone, Tine de Backer, …

Blood Pressure, Vol.33(1)

23/06/2024

DOI: https://doi.org/10.1080/08037051.2024.2368800

Abstract

Objective Real-life management of patients with hypertension and chronic kidney disease (CKD) among European Society of Hypertension Excellence Centres (ESH-ECs) is unclear : we aimed to investigate it. Methods A survey was conducted in 2023. The questionnaire contained 64 questions asking ESH-ECs representatives to estimate how patients with CKD are managed. Results Overall, 88 ESH-ECS representatives from 27 countries participated. According to the responders, renin-angiotensin system (RAS) blockers, calcium-channel blockers and thiazides were often added when these medications were lacking in CKD patients, but physicians were more prone to initiate RAS blockers (90% [interquartile range: 70–95%]) than MRA (20% [10–30%]), SGLT2i (30% [20–50%]) or (GLP1-RA (10% [5–15%]). Despite treatment optimisation, 30% of responders indicated that hypertension remained uncontrolled (30% (15–40%) vs 18% [10%–25%]) in CKD and CKD patients, respectively). Hyperkalemia was the most frequent barrier to initiate RAS blockers, and dosage reduction was considered in 45% of responders when kalaemia was 5.5–5.9 mmol/L. Conclusions RAS blockers are initiated in most ESH-ECS in CKD patients, but MRA and SGLT2i initiations are less frequent. Hyperkalemia was the main barrier for initiation or adequate dosing of RAS blockade, and RAS blockers’ dosage reduction was the usual management.

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Title: Management of patients with hypertension and chronic kidney disease referred to Hypertension Excellence Centres among 27 countries. On behalf of the European Society of Hypertension Working Group on Hypertension and the Kidney
Creators - without role: Jean-Michel Halimi
Pantelis Sarafidis - Aristotle University of Thessaloniki
Michel Azizi - Université Paris Cité
Grzegorz Bilo - IRCCS Istituto Auxologico Italiano
Thilo Burkard - University Hospital of Basel
Michael Bursztyn - Hadassah Medical Center
Miguel Camafort - Universitat de Barcelona
Neil Chapman - Imperial College Healthcare NHS Trust
Santina Cottone - University of Palermo
Tine de Backer - Ghent University Hospital
Jaap Deinum - Radboud University Nijmegen
Philippe Delmotte
Maria Dorobantu - Clinical Emergency Hospital Bucharest
Michalis Doumas
Rainer Dusing - LVR-Klinik Bonn
Béatrice Duly-Bouhanick
Jean-Pierre Fauvel
Pierre Fesler - Université de Montpellier, Physiologie et Médecine Expérimentale du coeur et des muscles - PhyMedExp
Zbigniew Gaciong - Medical University of Warsaw
Eugenia Gkaliagkousi
Daniel Gordin - University of Helsinki
Guido Grassi
Charalampos Grassos - General Hospital of Attica
Dominique Guerrot - Inserm
Justine Huart - University of Liège
Raffaele Izzo
Fernando Jaén Águila
Zoltán Járai
Thomas Kahan - Danderyds sjukhus
Ilkka Kantola - Turku University Hospital
Eva Kociánová - University Hospital Olomouc
Florianp. Limbourg - Medizinische Hochschule Hannover
Marilucy Lopez-Sublet - Hôpital Avicenne
Francesca Mallamaci
Athanasios Manolis - Metropolitan Hospital
Maria Marketou - University Hospital of Heraklion
Gert Mayer - Innsbruck Medical University
Alberto Mazza - European Society of Hypertension
Iainm. Macintyre - Western General Hospital
Jean-Jacques Mourad
Maria Lorenza Muiesan - University of Brescia
Edgar Nasr - Saint George Hospital
Peter Nilsson - Skåne University Hospital
Anna Oliveras - Hospital del Mar Research Institute
Olivier Ormezzano - Centre Hospitalier Universitaire de Grenoble
Vitor Paixão-Dias
Ioannis Papadakis
Dimitris Papadopoulos - Laiko General Hospital of Athens
Sabine Perl - Medical University of Graz
Jorge Polónia - Centre for Health Technology and Services Research
Roberto Pontremoli - Ospedale Policlinico San Martino
Giacomo Pucci - University of Perugia
Nicolás Roberto Robles - Centro de Implantología Cirugía Oral y Maxilofacial
Sébastien Rubin
Luis Miguel Ruilope
Lars Christian Rump - Heinrich Heine University Düsseldorf
Sahrai Saeed - Haukeland University Hospital
Elias Sanidas - Laiko General Hospital of Athens
Riccardo Sarzani - Istituti di Ricovero e Cura a Carattere Scientifico
Roland Schmieder - Universitätsklinikum Erlangen
François Silhol
Sekib Sokolovic
Marit Solbu - University Hospital of North Norway
Miroslav Soucek - St. Anne's University Hospital Brno
George Stergiou - National and Kapodistrian University of Athens
Isabella Sudano - University Hospital of Zurich
Ramzi Tabbalat - Jordan Hospital
Istemihan Tengiz - Yenişehir Hospital
Helen Triantafyllidi - National and Kapodistrian University of Athens
Konstontinos Tsioufis - Hippocration General Hospital
Jan Václavík - University of Ostrava
Markus van der Giet - Charité - Universitätsmedizin Berlin
Patricia Van Der Niepen
Franco Veglio - University of Turin
Retom. Venzin - Spital Thurgau
Margus Viigimaa - Tallinn University of Technology
Thomas Weber - Klinikum Wels-Grieskirchen
Jiri Widimsky - Charles University
Gregoire Wuerzner - University of Lausanne
Parounak Zelveian - Erebouni Medical Center
Pantelis Zebekakis - Aristotle University of Thessaloniki
Stephan Lueders - St. Josefs-Hospital Cloppenburg
Alexandre Persu - Cliniques Universitaires Saint-Luc
Reinhold Kreutz - Charité - Universitätsmedizin Berlin
Liffert Vogt - University of Amsterdam
Publication Details: Blood Pressure, Vol.33(1)
Identifiers: 9941333109311
Academic Unit: Physiologie et Médecine Expérimentale du coeur et des muscles - PhyMedExp
Language: English
Resource Type: Journal article
Local Fields: hal-04683101