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Arterielle Hypertonie pp 432–460Cite as

Spezifische Therapie sekundärer Hypertonieformen

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Zusammenfassung

Bei allen Formen der renoparenchymatösen Hypertonie (s. Kapitel 13.1) ist eine Blutdrucksenkung auf Werte < 130/80 mmHg anzustreben, um einerseits die Progression der Niereninsuffizienz zu verzögern und andererseits eine Schädigung weiterer Endorgane zu vermeiden. Ist die tägliche Eiweißausscheidung > 1 g, so ist der Blutdruck möglichst auf 125/75 mmHg zu senken. Die zeitliche Verzögerung der Niereninsuffizienz durch eine Senkung des Blutdruckes konnte sowohl bei der diabetischen Nephropathie (s. Kapitel 31.5.1) als auch bei nichtdiabetisch bedingten Nierenerkrankungen (IgA-Glomerulonephritis, hypertensive Nephropathie) eindrücklich belegt werden.

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Authors and Affiliations

  1. Reha Klinik GmbH Damp, Postfach 3000, 24349, Damp, Germany

    Prof. Dr. med. Michael Stimpel (Medizinische Fakultät der Universität zu Köln Ärztlicher Direktor der Fachkliniken für Rehabilitation und Präventivmedizin Damp und Schloß Schönhagen)

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  1. Prof. Dr. med. Michael Stimpel
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© 2001 Steinkopff Verlag Darmstadt

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Stimpel, M. (2001). Spezifische Therapie sekundärer Hypertonieformen. In: Arterielle Hypertonie. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-57617-1_34

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  • DOI: https://doi.org/10.1007/978-3-642-57617-1_34

  • Publisher Name: Steinkopff, Heidelberg

  • Print ISBN: 978-3-642-63309-6

  • Online ISBN: 978-3-642-57617-1

  • eBook Packages: Springer Book Archive

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