kidney disease (1). Many also have hypertension, either as a cause or complication of the kidney disease. Recently released guidelines from the Joint National Committee on the Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC-7) recommended aggressive treatment of hypertension to target blood pressure values less than 130/80 mm Hg in patients with chronic kidney disease (2). The guidelines defined chronic kidney disease as either reduced excretory function (estimated glomerular filtration rate � 60 mL/min per 1.73 m 2, corresponding approximately to a creatinine level � 132.6 �mol/L [�1.5 mg/dL] in men or �114.9 �mol/L [�1.3 mg/dL] in women) or the presence of urinary findings, such as albuminuria (�300 mg/d or 200 mg of albumin per g of creatinine). Stated goals of aggressive blood pressure managemen
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