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Chronic Condition Management
Hypertension Tip of the Month
Managing Hypertension Can Help Chronic Kidney Disease From Progressing
Uncontrolled blood pressure is the second leading cause of kidney failure in the United States, and approximately 20% of adults with hypertension may also have chronic kidney disease (CKD).*

As seen in the table below, moderate CKD equates to high risk at high to normal blood pressure.**
Treatment includes both lifestyle modifications and medication management.

Ideal characteristics of medication treatment include:
  • Evidence-based in relation to morbidity/mortality prevention
  • Use once-daily regimen whenever possible, which provides 24-hour blood pressure control
  • Treatment should be affordable and/or cost-effective relative to other agents
  • Treatments should be well-tolerated
  • For older adults (≥65 yr of age) with hypertension and a high burden of comorbidity and frailty/limited life expectancy, clinical judgment, patient preference, and a team-based approach to assess risk/benefit are reasonable for decisions regarding intensity of BP lowering and choice of antihypertensive drugs
** Example based on 60 year old male patient. Categories of risk will vary based on age and sex.
Managing Hypertension in Primary Care

The hypertension care pathway provides evidence-based guidelines for managing hypertension primary care. What’s inside:
  • Measurement and diagnosis
  • Risk assessment
  • Resistant hypertension and secondary hypertension
  • Clinical integration care delivery
About the Chronic Condition Management Hub
Mount Sinai Health System's Chronic Condition Management Hub is an online resource center for primary care physicians, specialists, and other care providers with resources and information to help them manage chronic health conditions
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P: 877-234-6667