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Chobanian, A.V., Bakris, G.L., Black, H.R., Cushman, W.C., Green, L.A., Izzo Jr., J.L., Jones, D.W., Materson, B.J., Oparil, S., Wright Jr., J.T., Roccella, E.J. and Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (2003) National Heart, Lung, and Blood Institute; National High Blood Pressure Education Program Coordinating Committee. Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension, 42, 1206-1252.
http://dx.doi.org/10.1161/01.HYP.0000107251.49515.c2
has been cited by the following article:
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TITLE:
Physician’s Awareness of Home Blood Pressure in the Treatment of Hypertensive Patients with Chronic Kidney Disease
AUTHORS:
Naoki Sugano, Satoru Kuriyama, Yoichiro Hara, Koki Takane, Yasuhito Takahashi, Yasuko Suetsugu, Takashi Yokoo
KEYWORDS:
Home Blood Pressure; Chronic Kidney Disease; Guideline for High Blood Pressure; Antihypertensive Agents
JOURNAL NAME:
Open Journal of Nephrology,
Vol.4 No.1,
March
24,
2014
ABSTRACT:
Aim: The
majority of guidelines recommended the significance of home-based blood
pressure (home-BP) measurement. The present study explored that to what extent, general practitioners (GPs) were aware of the
importance of home-BP in the daily clinical practice. Method: We sent out
questionnaires to GPs who had been specialized in nephrology and hypertension.
The questions focused on the awareness of home-BP and the selections of antihypertensive
agents for refractory hypertension in chronic kidney disease (CKD) patients.
Results: 1) The majority (95.9%) of the responding GPs had utilized home-BP in
their clinical practice. 2) When prescribing a single agent for hypertensive
CKD patients, the majority of GPs (87.3%) chose ARB for the first line drug,
and Ca channel blockers (CCB) were the second. 3) As an add-on drug to the
pre-treatment with an angiotensin receptor blocker (ARB), the majority preferred
CCB (82.7%) to diuretics (21.8%). In addition, a fixed combination formula of
antihypertensive medication consisting of ARB plus diuretic was accepted by the
majority of GPs (78.7%). 4) To
improve morning hypertension in patients treated with two or more drugs, 87.8%
of the doctors agreed that additional night-time dosing could be useful. The
choices of the agents given at night-time varied, mainly with α1-blockers (40.6%), followed by α-blockers (30.5%) and α-methyldopa (19.8%). Conclusion: The majority
of GPs in Japan are aware of the importance of the home-BP-based management of CKD.
They mainly chose ARB as a first line drug, and ARB plus CCB as an add-on
therapy.
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