Hipertensiunea arterială nu vine singură. Boala cronică de rinichi înainte sau după HTA? 

High blood pressure does not come alone. Chronic kidney disease before or after HTA? High blood pressure can cause kidney disease and is the leading cause of kidney failure in many countries. But kidney disease can also cause high blood pressure. Both conditions evolve silently, but in the case of chronic kidney disease, it can reach dialysis. About nine out of ten people with chronic kidney disease in stage 3-5 also have hypertension. “Let’s look ahead and diagnose hypertension and diabetes early, to treat them properly and prevent the progression of chronic kidney disease,” he told videomedicina.ro. dr. Ana-Maria Vintilă, cardiology primary physician, internal medicine primary physician. Hypertension, along with diabetes, is the two most important causes for chronic dialysis, but this progression can be delayed under the impact of antihypertensive and antidiabetic therapy. “We need to know how important it is to be aware of kidney dysfunction and that protecting them from the evolution toward the end stage is a very important one,” warns cardiologist Ana-Maria Vintilă, who claims that the relationship between hypertension and chronic kidney disease is bilateral, one determines the other. “High blood pressure, if it acts longer and is untreated or treated insufficiently or inappropriately, will over time lead to kidney damage secondary to high blood pressure, which will generate this chronic kidney disease progression slowly toward dialysis. On the other hand, kidney disease, whether or not induced by hypertension, through its mechanisms can generate tension increase, and patients who have chronic kidney disease have more resistant, harder-to-treat forms of blood pressure. so from each side we get to the other and a vicious circle ends that makes us understand the severity of this association,” said the head of the works. dr. Ana-Maria Vintilă, cardiology primary physician, internal medicine primary physician. Who is the patient suffering from kidney disease and hypertension? High blood pressure began to appear at younger and younger ages. “We have 30-year-old patients who are with essential hypertension. At present, from young age, it is often undetected, because the young patient does not think that he might suffer from hypertension. He thinks this disease is a disease of parents, grandparents, not of him, a young man, newly entered the job, and then the diagnosis may be delayed,” said the cardiologist. Any delay in diagnosis causes kidney damage to occur slowly, so the patient may end up with chronic kidney disease at an earlier age than expected. “We can have 40-50-year-old patients who have already developed chronic kidney disease in the context of high blood pressure. On the other hand, we can have the reverse situation, kidney disease of other causes, which can generate high blood pressure. They affect ages, sometimes even young, they can be autoimmune substrate, they can be with genetic substrate, they can be birth defects, and then if these diseases develop at young ages, of course we will have a young hypertensive patient with chronic kidney disease. But the bulk of the population that first has high blood pressure and then chronic kidney disease is most likely after the age of 50, an age at which we want to be active, we want to spend time both at work, as well as with our family, and we should also think a little about our kidney, how we protect it so that we can continue to live a peaceful life.” Tips for hypertensive patients who want to prevent the occurrence of chronic kidney disease Head of work. dr. Ana-Maria Vintilă, cardiology mayor, internal medicine mayor urges hypertensive Romanians to protect their kidneys. “These patients need to know that treating their high blood pressure well has the best chance of protecting their kidneys. Therefore, they can do nothing but maintain a healthy lifestyle and treat high blood pressure according to medical recommendations. That would be a strong recommendation. Go to the doctor as soon as possible, quickly diagnose hypertension and don’t think about treatment.” The cardiologist said that there are some patients who say they are too young to treat themselves and that they are just trying to change their lifestyle, but there are many cases where they should not wait. “You should take treatment from the beginning and this only the doctor, he can decide. A healthy lifestyle for everyone. And if the doctor has recommended drug treatment, treatment with antihypertensive pills, then we follow the treatment and we do periodic tests, according to the recommendations, because eventually kidney disease is detected by serum creatinine. It is an extremely simple, cheap analysis made of blood, very handy,” said the head of the company. dr. Ana-Maria Vintilă. Your GP may recommend a periodic investigation protocol to any hypertensive to prevent damage to kidney function. What patients with chronic kidney disease can do to prevent high blood pressure “Any patient with chronic kidney disease should be warned of the risk of hypertension and should be advised to measure their blood pressure more frequently. The secret lies in the awareness that it can make high blood pressure and periodically measure its blood pressure at home. To get a validated blood pressure gauge, an arm tensioner, preferably, with which to measure his blood pressure from time to time, while respecting a healthy lifestyle,” the doctor said. Another advice given by the cardiologist is to reduce salt consumption. “We eat a lot of salt in our country and unfortunately, it is a risk factor for hypertension, especially in the renal patient who can retain this condition in the body,” said the head of the company. dr. Ana-Maria Vintilă, cardiology primary physician, internal medicine primary physician.

videomedicina.ro/2024/03/31/hipertensiunea-arteriala-nu-vine-singura-boala-cronica-de-rinichi-inainte-sau-dupa-hta/ În lumea noastră agitată, sănătatea este cea mai prețioasă comoară. Hipertensiunea arterială și bolile renale sunt doi inamici tăcuți, dar puternici. Hipertensiunea poate afecta rinichii, iar rinichii pot declanșa hipertensiunea. În tăcere, aceste afecțiuni evoluează, iar în cazul bolii cronice de rinichi, drumul poate duce chiar la dializă. Aproximativ nouă din zece persoane cu boală cronică de rinichi în stadiile 3-5 au și hipertensiune arterială. ,,Să căutăm din timp și să diagnosticăm precoce hipertensiunea arterială și diabetul, pentru a le trata corespunzător și a împiedica progresia bolii cronice de rinichi”, a declarat pentru videomedicina.ro Șef lucr. dr. Ana-Maria Vintilă, medic primar cardiologie, medic primar medicină internă. Să fim vigilenți!🌱💙”