Barbara Greco, Yossi Chait, Brian Nathanson, Michael J. Germain
This pragmatic continuous quality improvement program reveals the feasibility and effectiveness of a hemodynamically directed management algorithm to individualize hypertension management in busy nephrology practice. This approach was associated with improved brachial and central BP control and normalization of cardiovascular hemodynamics in a cohort of patients with and without CKD. These results indicate that hemodynamically guided hypertension management may result in more patients achieving target BP and improved physiology. Although this study is hypothesis-generating, the results suggest that this approach could result in better control of hypertension with improved patient engagement.
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