Accepted Answer
Probably the most significant change relates to the target blood pressure for patients with NON-DIABETIC kidney disease. Previously both diabetic and non-diabetic patients had a suggested BP target of <130/80. As of the 2012 guidelines, CHEP now recommends patients with NON-DIABETIC kidney disease achieve a target of <140/90. This change in target comes as a result of recent studies and reanalysis of older studies showing no benefit of BP <130/80 in patients with non-diabetic kidney disease, and in fact, some suggestion of harm with the the lower target. The one caveat is that patients with proteinuria might indeed benefit from targeting <130/80, even in the absence of diabetes.
Accepted Answer
Probably the most significant change relates to the target blood pressure for patients with NON-DIABETIC kidney disease. Previously both diabetic and non-diabetic patients had a suggested BP target of <130/80. As of the 2012 guidelines, CHEP now recommends patients with NON-DIABETIC kidney disease achieve a target of <140/90. This change in target comes as a result of recent studies and reanalysis of older studies showing no benefit of BP <130/80 in patients with non-diabetic kidney disease, and in fact, some suggestion of harm with the the lower target. The one caveat is that patients with proteinuria might indeed benefit from targeting <130/80, even in the absence of diabetes.
I saw the guidelines presented at a CME meeting but have not yet seen slide kits published at http://www.hypertension.ca
Until then, there is a great reference on UKidney for all the 2011 guidelines:
http://ukidney.com/nephrology-presentations/hypertension/chep-2011-hypertension-recommendations
http://ukidney.com/nephrology-presentations/hypertension/chep-2011-hypertension-recommendations
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