%0 Journal Article
%T Physician¡¯s Awareness of Home Blood  Pressure in the Treatment of Hypertensive Patients with Chronic Kidney Disease
%A Naoki Sugano
%A Satoru Kuriyama
%A Yoichiro Hara
%A Koki Takane
%A Yasuhito Takahashi
%A Yasuko Suetsugu
%A Takashi Yokoo
%J Open Journal of Nephrology
%P 28-36
%@ 2164-2869
%D 2014
%I Scientific Research Publishing
%R 10.4236/ojneph.2014.41005
%X <p style=\"text-align:justify;\">
	<span style=\"font-size:10pt;line-height:1.5;font-family:Verdana;\">Aim: The
majority of guidelines recommended the significance of home-based blood
pressure (home-BP) measurement. The present study explored</span><span style=\"font-size:10pt;line-height:1.5;font-family:Verdana;\"> that</span><span style=\"font-size:10pt;line-height:1.5;font-family:Verdana;\"> to what extent</span><span style=\"font-size:10pt;line-height:1.5;font-family:Verdana;\">,</span><span style=\"font-size:10pt;line-height:1.5;font-family:Verdana;\"> 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%).</span><span style=\"font-size:10.0pt;line-height:97%;font-family:;\" \"=\"\"> </span><span style=\"font-size:10pt;line-height:1.5;font-family:Verdana;\">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 </span><i><span style=\"font-size:10pt;line-height:1.5;font-family:Verdana;\">¦Á</span></i><span style=\"font-size:10pt;line-height:1.5;font-family:Verdana;\">1-</span><span style=\"font-size:10pt;line-height:1.5;font-family:Verdana;\">blockers (40.6%), followed by</span><span style=\"font-size:10.0pt;line-height:97%;font-family:;\" \"=\"\"> </span><span style=\"font-size:10pt;line-height:1.5;font-family:Verdana;\">¦Á</span><span style=\"font-size:10pt;line-height:1.5;font-family:Verdana;\">-blockers (30.5%) and</span><span style=\"font-size:10.0pt;line-height:97%;font-family:;\" \"=\"\"> </span><i><span style=\"font-size:10pt;line-height:1.5;font-family:Verdana;\">¦Á</span></i><span
%K Home Blood Pressure
%K Chronic Kidney Disease
%K Guideline for High Blood Pressure
%K Antihypertensive Agents
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=44089